Provider Demographics
NPI:1083158836
Name:RIGGE, KIMBERLY RAE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:RAE
Last Name:RIGGE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:KIMBERLY
Other - Middle Name:RAE-COLLINS
Other - Last Name:CRESPO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:9414 DEL WEBB BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89134-8314
Mailing Address - Country:US
Mailing Address - Phone:702-331-1654
Mailing Address - Fax:702-900-9932
Practice Address - Street 1:9414 DEL WEBB BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89134-8314
Practice Address - Country:US
Practice Address - Phone:702-331-1654
Practice Address - Fax:702-900-9932
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-13
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT2925772251S0007X
CA295777225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports