Healthcare Provider Details

I. General information

NPI: 1336553213
Provider Name (Legal Business Name): MALLORY RIGGS PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MALLORY SIGLE

II. Dates (important events)

Enumeration Date: 06/18/2014
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 N THOMPSON LN STE 1H
MURFREESBORO TN
37129-4340
US

IV. Provider business mailing address

340 ROCKCASTLE DR
MURFREESBORO TN
37128-3053
US

V. Phone/Fax

Practice location:
  • Phone: 615-758-1027
  • Fax:
Mailing address:
  • Phone: 334-233-8302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPTH6914
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number17206
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: