Provider Demographics
NPI:1396812947
Name:RAIFFIE, JEFFREY A (DC)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:A
Last Name:RAIFFIE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6929 N HAYDEN RD
Mailing Address - Street 2:SUITE C7
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85250-7978
Mailing Address - Country:US
Mailing Address - Phone:480-222-5500
Mailing Address - Fax:480-222-5501
Practice Address - Street 1:6929 N HAYDEN RD
Practice Address - Street 2:SUITE C7
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85250-7978
Practice Address - Country:US
Practice Address - Phone:480-222-5500
Practice Address - Fax:480-222-5501
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7138111N00000X
AZ3826225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ72080Medicare ID - Type UnspecifiedMEDICARE PART B PROVIDER