Provider Demographics
NPI:1730101460
Name:BIGGS, MICHAEL JEFFEREY (MS, AT,C)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:JEFFEREY
Last Name:BIGGS
Suffix:
Gender:M
Credentials:MS, AT,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5015 SANDSTONE DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-4559
Mailing Address - Country:US
Mailing Address - Phone:970-207-1343
Mailing Address - Fax:
Practice Address - Street 1:ATHLETIC DEPARTMENT
Practice Address - Street 2:COLORADO STATE UNIVERSITY
Practice Address - City:FT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80523-0001
Practice Address - Country:US
Practice Address - Phone:970-491-1417
Practice Address - Fax:970-491-6167
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist