Provider Demographics
NPI:1336366285
Name:REIFF, CYNTHIA JANE (DC)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:JANE
Last Name:REIFF
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 1:3941 DENMARK AVE
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55123-1474
Mailing Address - Country:US
Mailing Address - Phone:651-688-3111
Mailing Address - Fax:708-575-4154
Practice Address - Street 1:3941 DENMARK AVE
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55123-1474
Practice Address - Country:US
Practice Address - Phone:651-688-3111
Practice Address - Fax:708-575-4154
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2007-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3070111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor