Provider Demographics
NPI:1336381144
Name:RIGNEY, AMANDA (ATC, LAT)
Entity Type:Individual
Prefix:MISS
First Name:AMANDA
Middle Name:
Last Name:RIGNEY
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6010 S WESTMORELAND RD
Mailing Address - Street 2:APT 511
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75237-2053
Mailing Address - Country:US
Mailing Address - Phone:580-465-1259
Mailing Address - Fax:
Practice Address - Street 1:12 BULLDOG DR
Practice Address - Street 2:
Practice Address - City:VENUS
Practice Address - State:TX
Practice Address - Zip Code:76084
Practice Address - Country:US
Practice Address - Phone:972-366-1739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-26
Last Update Date:2009-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer