MEDICARE: AMBER RIGGS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	PTA008533	OH

General Provider Information

NPI Number	:	1215606223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER RIGGS

Provider Business Mailing Address
First Line	:	2317 CANTON RD NW
Second Line	:
City	:	CARROLLTON
State	:	OH
Zip	:	44615-9348
Country	:	US
Telephone Number	:	330-771-3696
Fax Number	:

Provider Business Practice Location Address
First Line	:	2317 CANTON RD NW
Second Line	:
City	:	CARROLLTON
State	:	OH
Zip	:	44615-9348
Country	:	US
Telephone Number	:	330-771-3696
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2021
Last Update Date	:	09/13/2021

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