Individual
TANNER ROUGEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
131 SAINT GERMAINE ST, LAFAYETTE, LA 70506-1057
(337) 459-8074
Mailing address
131 SAINT GERMAINE ST, LAFAYETTE, LA 70506-1057
(337) 459-8074
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0618562
LA
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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