Healthcare Provider Details

I. General information

NPI: 1649195371
Provider Name (Legal Business Name): KATHERINE EVANS PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3172 GOVERNMENT ST
BATON ROUGE LA
70806-5624
US

IV. Provider business mailing address

12526 BRITTANY CT
WALKER LA
70785-8217
US

V. Phone/Fax

Practice location:
  • Phone: 225-255-2638
  • Fax:
Mailing address:
  • Phone: 225-304-3285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number12500
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: