Provider Demographics
NPI:1659823219
Name:RIGSBY, CHRISTOPHER KELLY (PT, DPT)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:KELLY
Last Name:RIGSBY
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2450 MORSE DR
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72032-8827
Mailing Address - Country:US
Mailing Address - Phone:501-428-6126
Mailing Address - Fax:
Practice Address - Street 1:823 PARKWAY ST
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-5342
Practice Address - Country:US
Practice Address - Phone:501-295-3545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-31
Last Update Date:2018-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA292233225100000X
AR4228225100000X
ARPT4228225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist