Provider Demographics
NPI:1992151112
Name:NIEMELA, BRITTANY (DC)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:NIEMELA
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 1:2326 CANYON LAKE DR STE 1
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57702-2914
Mailing Address - Country:US
Mailing Address - Phone:056-718-5720
Mailing Address - Fax:605-718-5721
Practice Address - Street 1:2326 CANYON LAKE DR STE 1
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57702-2914
Practice Address - Country:US
Practice Address - Phone:056-718-5720
Practice Address - Fax:605-718-5721
Is Sole Proprietor?:No
Enumeration Date:2016-05-06
Last Update Date:2021-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1341111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor