Provider Demographics
NPI:1124297809
Name:LEFLER, AUDREY CELINE (BS, DC)
Entity type:Individual
Prefix:DR
First Name:AUDREY
Middle Name:CELINE
Last Name:LEFLER
Suffix:
Gender:F
Credentials:BS, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1023 39TH AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-2502
Mailing Address - Country:US
Mailing Address - Phone:970-631-4141
Mailing Address - Fax:970-351-7950
Practice Address - Street 1:1023 39TH AVE
Practice Address - Street 2:SUITE F
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-2502
Practice Address - Country:US
Practice Address - Phone:970-631-4141
Practice Address - Fax:970-351-7950
Is Sole Proprietor?:No
Enumeration Date:2008-02-26
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6085111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor