Provider Demographics
NPI:1912341900
Name:NEFF, LEAH ROSE (LMT)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:ROSE
Last Name:NEFF
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3795 BIRCHWOOD DR APT 78
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-1452
Mailing Address - Country:US
Mailing Address - Phone:207-351-6663
Mailing Address - Fax:
Practice Address - Street 1:630 COFFMAN ST STE B
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-8303
Practice Address - Country:US
Practice Address - Phone:303-652-3533
Practice Address - Fax:303-776-6856
Is Sole Proprietor?:No
Enumeration Date:2013-04-22
Last Update Date:2024-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
222Q00000X
COMT.0026204225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist