Basic Information
| Provider Information | |||||||||
| NPI: | 1700174489 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RIGBY | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2176 E FRANKLIN RD | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | MERIDIAN | ||||||||
| State: | ID | ||||||||
| PostalCode: | 836429024 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2082881155 | ||||||||
| FaxNumber: | 2082880424 | ||||||||
| Practice Location | |||||||||
| Address1: | 3155 CHANNING WAY | ||||||||
| Address2: | SUITE D | ||||||||
| City: | IDAHO FALLS | ||||||||
| State: | ID | ||||||||
| PostalCode: | 834047534 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2085522700 | ||||||||
| FaxNumber: | 2085521533 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/15/2011 | ||||||||
| LastUpdateDate: | 07/15/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT-2819 | ID | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.