Provider Demographics
NPI:1114195310
Name:RIGGIN, REESE RUSSELL (DC)
Entity Type:Individual
Prefix:DR
First Name:REESE
Middle Name:RUSSELL
Last Name:RIGGIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 NORTHWEST BYP
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59404-4141
Mailing Address - Country:US
Mailing Address - Phone:406-454-2255
Mailing Address - Fax:406-761-2905
Practice Address - Street 1:125 NORTHWEST BYP
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59404-4141
Practice Address - Country:US
Practice Address - Phone:406-454-2255
Practice Address - Fax:406-761-2905
Is Sole Proprietor?:No
Enumeration Date:2008-02-11
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1181111N00000X, 111NS0005X, 111NR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NS0005XChiropractic ProvidersChiropractorSports Physician
No111NR0200XChiropractic ProvidersChiropractorRadiology