Structural Synergy LLC
NPI #1154063832 in Priest River, Idaho
Provider Information
- NPI Number
- 1154063832
- Entity Type
- Organization
- Organization Name
- Structural Synergy LLC
- Primary Specialty
- Massage Therapist
- Enumeration Date
- Apr 12, 2022
- Last Updated
- Apr 12, 2022
Practice Location
- Address
- 50 MAIN ST STE 206-3
- City
- Priest River
- State
- Idaho
- ZIP Code
- 83856-6758
- Phone
- (505) 402-1885
Authorized Official
- Name
- GLORIA STAR JENSEN, LMT
- Title
- OWNER/PRACTITIONER
- Phone
- (505) 402-1885
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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