Provider Demographics
NPI:1790314540
Name:RIGLER, CHERYL ANN (COTA)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:ANN
Last Name:RIGLER
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:ANN
Other - Last Name:LEGRAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4917 MATADOR TRL
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-6107
Mailing Address - Country:US
Mailing Address - Phone:806-290-5286
Mailing Address - Fax:
Practice Address - Street 1:4917 MATADOR TRL
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-6107
Practice Address - Country:US
Practice Address - Phone:806-290-5286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-03
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX209464224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant