Individual ProviderNicolas Alan RiggsPhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2869 Viking Dr, #165, Green Bay, WI 54304-5990(414) 615-0665PECOS EnrollmentBased on the most recent information from CMS, provider Nicolas Alan Riggs does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1679904684Provider TypeIndividualFull NameRiggs, Nicolas AlanGenderMaleSole ProprietorNoEnumeration Date12/2/2013Last Updated12/2/2013Contact InformationPractice LocationPractice Address2869 Viking Dr, #165, Green Bay, WI 54304-5990Phone(414) 615-0665Fax(414) 615-0667Mailing LocationMailing Address2869 Viking Dr, #165, Green Bay, WI 54304-5990Phone(414) 615-0665Fax(414) 615-0667Provider TaxonomiesCodeDescriptionLicenseCode225200000XPrimaryDescriptionPhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense2030-19Wisconsin