Provider Demographics
NPI:1194395194
Name:BRIGGS, TRISTEN JEFFERY (ATC)
Entity type:Individual
Prefix:
First Name:TRISTEN
Middle Name:JEFFERY
Last Name:BRIGGS
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 SILO CT APT 1122B
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201-5317
Mailing Address - Country:US
Mailing Address - Phone:585-953-0268
Mailing Address - Fax:
Practice Address - Street 1:112 SILO CT APT 1122B
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-5317
Practice Address - Country:US
Practice Address - Phone:585-953-0268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-30
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer