Provider Demographics
NPI:1821573288
Name:RIGGS, DIANNE KATHERINE (DPT)
Entity Type:Individual
Prefix:
First Name:DIANNE
Middle Name:KATHERINE
Last Name:RIGGS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 MARCELLA DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-9172
Mailing Address - Country:US
Mailing Address - Phone:501-231-4149
Mailing Address - Fax:
Practice Address - Street 1:725 6TH ST
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:WA
Practice Address - Zip Code:99403-2006
Practice Address - Country:US
Practice Address - Phone:509-758-8510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-01
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60888227225100000X
OR62952225100000X
WAPT60888227225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist