# PREMIER REHAB & AQUATICS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356319552
- **Authorized official:** MARTIN VINCE TASSIN LPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (985) 893-8285

## Contact information

- **Practice address:** 7015 HWY 190 E SERV RD, SUITE 103, COVINGTON, LA 70433-4960
- **Practice address phone:** (985) 893-8285
- **Practice address fax:** (985) 893-8288
- **Mailing address:** 7015 HWY 190 E SERV RD, SUITE 103, COVINGTON, LA 70433-4960
- **Mailing address phone:** (985) 893-8285
- **Mailing address fax:** (985) 893-8288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 00211 | LA | Yes |

## Other

- **Enumeration date:** 03/14/2006
- **Last updated:** 11/14/2007