IndividualActive
Casady Hennigan, PT, DPT
NPI 1649963513 · Physical Medicine & Rehabilitation Physician · Deridder, LA
Provider details
- NPI number
- 1649963513
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 11494 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
601 Lumas Rd
Deridder, LA 70634-7594
Phone: (337) 401-6029
Approximate (ZIP-level) locationGet directions
Mailing address
601 Lumas Rd
Deridder, LA 70634-7594
Registry dates
- Enumerated
- 2023-05-29
- Last updated
- 2023-05-29
- Certified
- 2023-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.