Provider Demographics
NPI:1750936027
Name:REIF, SYDNEY MARIE (DPT)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:MARIE
Last Name:REIF
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:SYDNEY
Other - Middle Name:MARIE
Other - Last Name:GREENLUND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:PO BOX 1475
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50305-1475
Mailing Address - Country:US
Mailing Address - Phone:515-244-5005
Mailing Address - Fax:515-244-2202
Practice Address - Street 1:3310 SW 9TH ST
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50315-7647
Practice Address - Country:US
Practice Address - Phone:515-244-5005
Practice Address - Fax:515-244-2202
Is Sole Proprietor?:No
Enumeration Date:2019-08-05
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA096609225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist