Provider Demographics
NPI:1568583573
Name:RIGGINS, ANNALISA MARIE (PT)
Entity Type:Individual
Prefix:
First Name:ANNALISA
Middle Name:MARIE
Last Name:RIGGINS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ANNALISA
Other - Middle Name:MARIE
Other - Last Name:MASTROIANNI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6707 COUNTY ROAD 7620
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424
Mailing Address - Country:US
Mailing Address - Phone:806-441-2335
Mailing Address - Fax:806-725-6011
Practice Address - Street 1:6921 ARMADILLO RD
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79407-8045
Practice Address - Country:US
Practice Address - Phone:806-885-3374
Practice Address - Fax:806-885-3374
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1146211225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist