| Doctor Name: | MR. TRAVIS ROSS RIGBY |
| NPI Number: | 1033217419 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S. CCC-A |
| License Number: | AUD-1129 |
| Business Practice Address: | 32 Madison Professional Park Rexburg, ID - 834402058 |
| Business Phone Number: | 2083560766 |
| Business Fax Number: | 2083599488 |
| Mailing Address: | 3345 Merlin Dr, Ste 200 IDAHO FALLS |
| State: | ID |
| Postal Code: | 834047405 |
| Phone Number: | 2085291514 |
| Fax Number: | 2085293170 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 231HA2400X |
| License Number: | AUD-1129 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Audiologist |
| Taxonomy Specialization: | Assistive Technology Practitioner |
| Taxonomy Definition: | |