Provider Demographics
NPI:1629231006
Name:MENARD, ARTHUR P (LPTA)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:P
Last Name:MENARD
Suffix:
Gender:M
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2030 ARD FIELD RD
Mailing Address - Street 2:
Mailing Address - City:JAY
Mailing Address - State:FL
Mailing Address - Zip Code:32565-9369
Mailing Address - Country:US
Mailing Address - Phone:573-253-3933
Mailing Address - Fax:
Practice Address - Street 1:2030 ARD FIELD RD
Practice Address - Street 2:
Practice Address - City:JAY
Practice Address - State:FL
Practice Address - Zip Code:32565-9369
Practice Address - Country:US
Practice Address - Phone:573-253-3933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-07
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009003414225200000X
FL32263225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant