Provider Demographics
NPI:1083857577
Name:MENARD, ELEONORE A (LMT)
Entity Type:Individual
Prefix:MRS
First Name:ELEONORE
Middle Name:A
Last Name:MENARD
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1905 OAK LEAF BLVD
Mailing Address - Street 2:
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70570-9561
Mailing Address - Country:US
Mailing Address - Phone:337-942-5955
Mailing Address - Fax:337-948-9799
Practice Address - Street 1:1200 HEATHER DR
Practice Address - Street 2:
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-7712
Practice Address - Country:US
Practice Address - Phone:337-942-5955
Practice Address - Fax:337-948-9799
Is Sole Proprietor?:No
Enumeration Date:2009-04-13
Last Update Date:2009-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALA0455172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist