MEDICARE: RIGBERG THERAPY

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	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1306654926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIGBERG THERAPY

Provider Business Mailing Address
First Line	:	300 S HYDE PARK AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33606-2286
Country	:	US
Telephone Number	:	813-385-1583
Fax Number	:	813-385-1583

Provider Business Practice Location Address
First Line	:	300 S HYDE PARK AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33606-2286
Country	:	US
Telephone Number	:	813-385-1583
Fax Number	:	813-385-1583

Authorized Official
Title or Position	:	PREDIDENT
Name	:	KERRIE RIGBERG
Credential	:	SLP
Telephone Number	:	813-385-1583

Provider Enumeration Date	:	12/28/2024
Last Update Date	:	12/28/2024

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Directions to “RIGBERG THERAPY ” Practice Location

Language	Start Address	Practice Location

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