Provider Demographics
NPI:1366983389
Name:FIGGINS, SAMANTHA SUE (DC)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:SUE
Last Name:FIGGINS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1203 E OAKLAND ST UNIT A
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-5877
Mailing Address - Country:US
Mailing Address - Phone:563-639-9454
Mailing Address - Fax:
Practice Address - Street 1:325 OMAHA ST STE 5
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-2850
Practice Address - Country:US
Practice Address - Phone:605-718-5329
Practice Address - Fax:605-718-5334
Is Sole Proprietor?:No
Enumeration Date:2017-03-09
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1312111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor