Provider Demographics
NPI:1265676522
Name:RIGRISH, LOUIS J (PT)
Entity Type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:J
Last Name:RIGRISH
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3517 N STONE GULLY
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85207-1162
Mailing Address - Country:US
Mailing Address - Phone:602-505-2100
Mailing Address - Fax:480-854-7096
Practice Address - Street 1:3517 N STONE GULLY
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85207-1162
Practice Address - Country:US
Practice Address - Phone:602-505-2100
Practice Address - Fax:480-854-7096
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-29
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ6055225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist