Provider Demographics
NPI:1891261848
Name:REICHERT, ALEXIS ARLENE (DC)
Entity Type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:ARLENE
Last Name:REICHERT
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 1:370 WOODBURY PINES CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-9081
Mailing Address - Country:US
Mailing Address - Phone:321-442-1701
Mailing Address - Fax:
Practice Address - Street 1:6220 S ORANGE BLOSSOM TRL STE 606
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-4688
Practice Address - Country:US
Practice Address - Phone:321-442-1701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-17
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH12548111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor