Provider Demographics
NPI:1336895986
Name:RIGGLE, CATHY RENEE (OTR)
Entity Type:Individual
Prefix:MS
First Name:CATHY
Middle Name:RENEE
Last Name:RIGGLE
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9625 LEE PL
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-7459
Mailing Address - Country:US
Mailing Address - Phone:219-577-6940
Mailing Address - Fax:
Practice Address - Street 1:1763 CALUMET AVE
Practice Address - Street 2:
Practice Address - City:DYER
Practice Address - State:IN
Practice Address - Zip Code:46311-1597
Practice Address - Country:US
Practice Address - Phone:219-500-6591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-22
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31005827A225X00000X
IL056.010887225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist