Provider Demographics
NPI:1679810246
Name:TIGER PHYSICAL THERAPY
Entity Type:Organization
Organization Name:TIGER PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:CAHANIN
Authorized Official - Suffix:IV
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:985-626-5428
Mailing Address - Street 1:PO BOX 4701
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70434-4701
Mailing Address - Country:US
Mailing Address - Phone:985-626-5428
Mailing Address - Fax:985-626-5429
Practice Address - Street 1:23052 HIGHWAY 1088
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70448-8410
Practice Address - Country:US
Practice Address - Phone:985-626-5428
Practice Address - Fax:985-626-5429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA07905261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy