Provider Demographics
NPI:1750515391
Name:LOUVIERE, TIFFANY HEBERT (PT)
Entity type:Individual
Prefix:MS
First Name:TIFFANY
Middle Name:HEBERT
Last Name:LOUVIERE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:ANN
Other - Last Name:HEBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1400 REES ST
Mailing Address - Street 2:SUTIE D
Mailing Address - City:BREAUX BRIDGE
Mailing Address - State:LA
Mailing Address - Zip Code:70517-4308
Mailing Address - Country:US
Mailing Address - Phone:337-277-8129
Mailing Address - Fax:
Practice Address - Street 1:1400 REES ST
Practice Address - Street 2:SUTIE D
Practice Address - City:BREAUX BRIDGE
Practice Address - State:LA
Practice Address - Zip Code:70517-4308
Practice Address - Country:US
Practice Address - Phone:337-277-8129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-12
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA07467225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist