Provider Demographics
NPI:1144569575
Name:RIGGS, MELISSA DIANE (PT)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:DIANE
Last Name:RIGGS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8805 CHICORY CIR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-1626
Mailing Address - Country:US
Mailing Address - Phone:615-504-0714
Mailing Address - Fax:
Practice Address - Street 1:8805 CHICORY CIR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-1626
Practice Address - Country:US
Practice Address - Phone:615-504-0714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-05
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6874225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ000254Medicaid
TN4344970OtherBLUE CROSS BLUE SHIELD
TN1541996OtherCIGNA
TN9192904OtherAETNA
TNP01261304OtherRR MEDICARE
TN103I654581Medicare PIN