Provider Demographics
NPI:1245691849
Name:RIGGS, CYNTHIA (LAC)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:RIGGS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3644 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-2821
Mailing Address - Country:US
Mailing Address - Phone:707-227-0869
Mailing Address - Fax:
Practice Address - Street 1:6247 BROOKSIDE BLVD
Practice Address - Street 2:#244
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64113-1637
Practice Address - Country:US
Practice Address - Phone:707-227-0869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-10
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016007242171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist