Individual
DR. SAMMI JO TIVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
810 MT VIEW RD, RAPID CITY, SD 57702
(605) 399-2273
Mailing address
810 MT VIEW RD, RAPID CITY, SD 57702-2520
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1174
SD
Other
Enumeration date
05/18/2010
Last updated
04/02/2019
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