Provider Demographics
NPI:1679245450
Name:MENARD, CAYMEN ABBEY (PT, DPT)
Entity Type:Individual
Prefix:
First Name:CAYMEN
Middle Name:ABBEY
Last Name:MENARD
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 MAPLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-1763
Mailing Address - Country:US
Mailing Address - Phone:573-289-2553
Mailing Address - Fax:
Practice Address - Street 1:500 E 84TH AVE STE B14
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-5311
Practice Address - Country:US
Practice Address - Phone:303-287-7070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-30
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic