Provider Demographics
NPI:1861959041
Name:RIGSBY, KRISTIAN STEPHEN (ATC, LAT)
Entity type:Individual
Prefix:
First Name:KRISTIAN
Middle Name:STEPHEN
Last Name:RIGSBY
Suffix:
Gender:M
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:613 23RD STREET
Mailing Address - Street 2:MED PLAZA B SUITE G30
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41101
Mailing Address - Country:US
Mailing Address - Phone:606-327-0036
Mailing Address - Fax:
Practice Address - Street 1:302 HIGH ST
Practice Address - Street 2:
Practice Address - City:SOUTH POINT
Practice Address - State:OH
Practice Address - Zip Code:45680-9636
Practice Address - Country:US
Practice Address - Phone:431-574-0377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-25
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYAT14322255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer