Provider Demographics
NPI:1871892729
Name:SHEFF BURR, LEAH LYNN (MT)
Entity type:Individual
Prefix:MRS
First Name:LEAH
Middle Name:LYNN
Last Name:SHEFF BURR
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18476 KENRICK AVE #201
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55044-1916
Mailing Address - Country:US
Mailing Address - Phone:612-281-3098
Mailing Address - Fax:
Practice Address - Street 1:18476 KENRICK AVE #201
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55044-1916
Practice Address - Country:US
Practice Address - Phone:612-281-3098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-17
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist