Healthcare Provider Details

I. General information

NPI: 1255764247
Provider Name (Legal Business Name): MICHELLE RAE WIGGINS PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2013
Last Update Date: 08/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7108 HEARTHSTONE RD NW
ALBUQUERQUE NM
87114-4583
US

IV. Provider business mailing address

7108 HEARTHSTONE RD NW
ALBUQUERQUE NM
87114-4583
US

V. Phone/Fax

Practice location:
  • Phone: 210-275-9968
  • Fax:
Mailing address:
  • Phone: 210-275-9968
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberA-0962
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: