Provider Demographics
NPI:1275711467
Name:RIGGS, CHELA (LMP)
Entity Type:Individual
Prefix:
First Name:CHELA
Middle Name:
Last Name:RIGGS
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:CHELA
Other - Middle Name:
Other - Last Name:RIGGS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMP
Mailing Address - Street 1:11810 29TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-6023
Mailing Address - Country:US
Mailing Address - Phone:425-374-9840
Mailing Address - Fax:
Practice Address - Street 1:3309 108TH ST SE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-7520
Practice Address - Country:US
Practice Address - Phone:425-338-0910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-10
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00024996225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0235546OtherL & I