Provider Demographics
NPI:1770984130
Name:RIEGER, ELIZABETH
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:RIEGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 SEVERN AVE
Mailing Address - Street 2:SUITE 7
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-7605
Mailing Address - Country:US
Mailing Address - Phone:504-885-8969
Mailing Address - Fax:504-885-9190
Practice Address - Street 1:3000 SEVERN AVE
Practice Address - Street 2:SUITE 7
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-7605
Practice Address - Country:US
Practice Address - Phone:504-885-8969
Practice Address - Fax:504-885-9190
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-04
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA08909261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy