Provider Demographics
NPI:1427581529
Name:GEYER, LENEA S (DC)
Entity Type:Individual
Prefix:
First Name:LENEA
Middle Name:S
Last Name:GEYER
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 1:835 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-1503
Mailing Address - Country:US
Mailing Address - Phone:413-442-5022
Mailing Address - Fax:413-499-1946
Practice Address - Street 1:835 NORTH ST
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-1503
Practice Address - Country:US
Practice Address - Phone:413-442-5022
Practice Address - Fax:413-499-1946
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-05
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3573111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor