Provider Demographics
NPI:1750134839
Name:RYGG, KARIS (LAC)
Entity type:Individual
Prefix:
First Name:KARIS
Middle Name:
Last Name:RYGG
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 1:108 CREEK LN S
Mailing Address - Street 2:
Mailing Address - City:JORDAN
Mailing Address - State:MN
Mailing Address - Zip Code:55352-1202
Mailing Address - Country:US
Mailing Address - Phone:952-492-6363
Mailing Address - Fax:
Practice Address - Street 1:108 CREEK LN S
Practice Address - Street 2:
Practice Address - City:JORDAN
Practice Address - State:MN
Practice Address - Zip Code:55352-1202
Practice Address - Country:US
Practice Address - Phone:952-492-6363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-09
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2073171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist