| Doctor Name: | TIMOTHY JAMES MENDEN |
| NPI Number: | 1144629262 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT, ATC |
| License Number: | 9725 |
| Business Practice Address: | 101 A 14th Street Northeast Buffalo, MN - 553135636 |
| Business Phone Number: | 7636843902 |
| Business Fax Number: | 7366843881 |
| Mailing Address: | 1145 Merrifield Ct, SHAKOPEE |
| State: | MN |
| Postal Code: | 553792920 |
| Phone Number: | 6122455504 |
| Fax Number: | |
| NPI Enumeration Date: | 08/14/2014 |
| NPI Last Update Date: | 08/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 9725 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |