Provider Demographics
NPI:1851662647
Name:REEDY, BRIEANN M (DC)
Entity Type:Individual
Prefix:MS
First Name:BRIEANN
Middle Name:M
Last Name:REEDY
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 1:1349 NW 121ST ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-8145
Mailing Address - Country:US
Mailing Address - Phone:515-422-9892
Mailing Address - Fax:515-270-0323
Practice Address - Street 1:1349 NW 121ST ST
Practice Address - Street 2:SUITE 100
Practice Address - City:CLIVE
Practice Address - State:IA
Practice Address - Zip Code:50325-8145
Practice Address - Country:US
Practice Address - Phone:515-422-9892
Practice Address - Fax:515-270-0323
Is Sole Proprietor?:No
Enumeration Date:2012-01-25
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007507111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor