MEDICARE: MS. AARIKA MICHELLE DIGGS DPT

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	225100000X	Physical Therapist	7228	SC
2	225100000X	Physical Therapist	09606R	LA
3	225100000X	Physical Therapist	1259760	TX
4	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1346677739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AARIKA MICHELLE DIGGS DPT

Provider Business Mailing Address
First Line	:	10204 ATKINS RIDGE DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28213
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1755 WITTINGTON PL
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75234-1927
Country	:	US
Telephone Number	:	866-221-5405
Fax Number	:

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

Provider Enumeration Date	:	10/01/2013
Last Update Date	:	07/30/2018

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