Provider Demographics
NPI:1013141092
Name:REIFF, LEAH VANESSA (DC, BS)
Entity Type:Individual
Prefix:DR
First Name:LEAH
Middle Name:VANESSA
Last Name:REIFF
Suffix:
Gender:F
Credentials:DC, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:738 SAINT JOSEPH ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-5536
Mailing Address - Country:US
Mailing Address - Phone:215-527-8014
Mailing Address - Fax:
Practice Address - Street 1:738 SAINT JOSEPH ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-5536
Practice Address - Country:US
Practice Address - Phone:215-527-8014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-06
Last Update Date:2009-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010096111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor