MEDICARE: DR. JESSICA KATHLEEN RIEHL D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC010057	PA

General Provider Information

NPI Number	:	1093953317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JESSICA KATHLEEN RIEHL D.C.

Provider Business Mailing Address
First Line	:	7 CENTER STREET
Second Line	:	PO BOX 67
City	:	INTERCOURSE
State	:	PA
Zip	:	17534
Country	:	US
Telephone Number	:	717-768-7148
Fax Number	:	717-768-7149

Provider Business Practice Location Address
First Line	:	7 CENTER STREET
Second Line	:
City	:	INTERCOURSE
State	:	PA
Zip	:	17534-0000
Country	:	US
Telephone Number	:	717-768-7148
Fax Number	:	717-768-7149

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2009
Last Update Date	:	11/26/2014

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