Provider Demographics
NPI:1306654926
Name:RIGBERG THERAPY
Entity type:Organization
Organization Name:RIGBERG THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PREDIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KERRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RIGBERG
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:813-385-1583
Mailing Address - Street 1:300 S HYDE PARK AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-2286
Mailing Address - Country:US
Mailing Address - Phone:813-385-1583
Mailing Address - Fax:813-385-1583
Practice Address - Street 1:300 S HYDE PARK AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-2286
Practice Address - Country:US
Practice Address - Phone:813-385-1583
Practice Address - Fax:813-385-1583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-28
Last Update Date:2024-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty