Provider Demographics
NPI:1659466654
Name:BIGLEY, TAMMIE LYNN (MSPT)
Entity type:Individual
Prefix:MRS
First Name:TAMMIE
Middle Name:LYNN
Last Name:BIGLEY
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:MISS
Other - First Name:TAMMIE
Other - Middle Name:LYNN
Other - Last Name:WION
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSPT
Mailing Address - Street 1:3246 NORTH CARSON ST
Mailing Address - Street 2:SUITE 120
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89706-1677
Mailing Address - Country:US
Mailing Address - Phone:775-885-9965
Mailing Address - Fax:778-885-9969
Practice Address - Street 1:3246 NORTH CARSON ST
Practice Address - Street 2:SUITE 120
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89706-1677
Practice Address - Country:US
Practice Address - Phone:775-885-9965
Practice Address - Fax:778-885-9969
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0854225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVCC0961OtherBCBS
NVP00Z14319OtherPALMETTO GBA
NVV35343Medicare PIN