Provider Demographics
NPI:1265961221
Name:RIGGS, BRIAN DOWNEY JR (LPTA)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:DOWNEY
Last Name:RIGGS
Suffix:JR
Gender:M
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:2420 OLD BRICK RD APT 1328
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-5995
Mailing Address - Country:US
Mailing Address - Phone:434-242-0190
Mailing Address - Fax:
Practice Address - Street 1:2420 OLD BRICK RD APT 1328
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-5995
Practice Address - Country:US
Practice Address - Phone:434-242-0190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-05
Last Update Date:2017-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2306604711225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant