Provider Demographics
NPI:1730310202
Name:QUIGLEY, SUSAN ARMIITA (DC)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:ARMIITA
Last Name:QUIGLEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:SUSAN
Other - Middle Name:ARMIITA
Other - Last Name:TOUSIGNANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:12455 RIDGEDALE DR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55305-1786
Mailing Address - Country:US
Mailing Address - Phone:952-314-7035
Mailing Address - Fax:952-426-3413
Practice Address - Street 1:12455 RIDGEDALE DR
Practice Address - Street 2:SUITE 203
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55305-1786
Practice Address - Country:US
Practice Address - Phone:952-314-7035
Practice Address - Fax:952-426-3413
Is Sole Proprietor?:No
Enumeration Date:2009-08-01
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5268111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor