IndividualActive
Jackie Wiggins, CRT
NPI 1457892960 · Home Health Certified Respiratory Therapist · Woodbridge, VA
Provider details
- NPI number
- 1457892960
- Entity type
- Individual
- Primary specialty
- Home Health Certified Respiratory TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CRT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0117007960 (VA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Agencies
Practice location
15000 Potomac Town Pl
Woodbridge, VA 22191-6586
Phone: (678) 237-6150
Approximate (ZIP-level) locationGet directions
Mailing address
15000 Potomac Town Pl
Woodbridge, VA 22191-6586
Registry dates
- Enumerated
- 2017-03-16
- Last updated
- 2017-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.