MEDICARE: EVAN M COUGET DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	12051	LA

General Provider Information

NPI Number	:	1952193658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVAN M COUGET DPT

Provider Business Mailing Address
First Line	:	4621 W NAPOLEON AVE STE 101
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70001-2478
Country	:	US
Telephone Number	:	504-302-9700
Fax Number	:	504-302-9800

Provider Business Practice Location Address
First Line	:	4621 W NAPOLEON AVE STE 101
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70001-2478
Country	:	US
Telephone Number	:	504-302-9700
Fax Number	:	504-302-9800

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2025
Last Update Date	:	05/19/2025

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Directions to “ EVAN M COUGET DPT” Practice Location

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