Provider Demographics
NPI:1437510039
Name:RIGGS, GINA (SLP)
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:
Last Name:RIGGS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:GINA
Other - Middle Name:
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1845 FAIRMOUNT ST
Mailing Address - Street 2:CAMPUS BOX 99
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67260-0099
Mailing Address - Country:US
Mailing Address - Phone:316-978-3289
Mailing Address - Fax:316-978-7264
Practice Address - Street 1:5015 E 29TH ST N
Practice Address - Street 2:DOOR T
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67220-2110
Practice Address - Country:US
Practice Address - Phone:316-978-3289
Practice Address - Fax:316-978-7264
Is Sole Proprietor?:No
Enumeration Date:2016-03-10
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist