Provider Demographics
NPI:1558843714
Name:RIGSBEE, SHANNON HOPE (MAT, LAT, LMT, ATC)
Entity Type:Individual
Prefix:
First Name:SHANNON
Middle Name:HOPE
Last Name:RIGSBEE
Suffix:
Gender:F
Credentials:MAT, LAT, LMT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6004 CANTON CT
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79905-5315
Mailing Address - Country:US
Mailing Address - Phone:915-204-6372
Mailing Address - Fax:
Practice Address - Street 1:13425 SSG SIMS ST
Practice Address - Street 2:
Practice Address - City:FORT BLISS
Practice Address - State:TX
Practice Address - Zip Code:79918-8062
Practice Address - Country:US
Practice Address - Phone:915-204-6372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-04
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer