Most Relevant Information
Provider Data
| NPI Number: | 1003249012 |
| Provider Name: | RYAN JAMES MENTELE DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 1694 |
Most Important Dates
| Enumeration Date: | 08/13/2013 |
| Last Updated: | 08/13/2013 |
Provider Practice Location
1319 W HAVENS AVE
MITCHELL
SD
573014116
Practice Location Phone/Fax
| Phone: | 6059964778 |
| Fax: | 6059963660 |
Provider Mailing Location
1319 W HAVENS AVE
MITCHELL
SD
573014116
Provider Mailing Phone/Fax
| Phone: | 6059964778 |
| Fax: | 6059963660 |