Provider Demographics
NPI:1285035279
Name:SIGLER, RICK (ATC)
Entity Type:Individual
Prefix:
First Name:RICK
Middle Name:
Last Name:SIGLER
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:556 MAITLAND DR
Mailing Address - Street 2:
Mailing Address - City:HORTON
Mailing Address - State:MI
Mailing Address - Zip Code:49246-9010
Mailing Address - Country:US
Mailing Address - Phone:517-748-3030
Mailing Address - Fax:
Practice Address - Street 1:1801 W MAUMEE ST STE 125
Practice Address - Street 2:
Practice Address - City:ADRIAN
Practice Address - State:MI
Practice Address - Zip Code:49221-1397
Practice Address - Country:US
Practice Address - Phone:517-264-6141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-09
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI26010006402255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer