Provider Demographics
NPI:1831987262
Name:RIGBY, TREVOR
Entity type:Individual
Prefix:
First Name:TREVOR
Middle Name:
Last Name:RIGBY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 W 50 S UNIT R3
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84014-2360
Mailing Address - Country:US
Mailing Address - Phone:801-989-9619
Mailing Address - Fax:
Practice Address - Street 1:1055 N WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84404-3605
Practice Address - Country:US
Practice Address - Phone:570-980-1394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-26
Last Update Date:2025-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program