Provider Demographics
NPI:1477705945
Name:SYNERGY STUDIO
Entity Type:Organization
Organization Name:SYNERGY STUDIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:913-345-9439
Mailing Address - Street 1:7824 W. 119TH ST.
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66213-1115
Mailing Address - Country:US
Mailing Address - Phone:913-345-9439
Mailing Address - Fax:913-339-9462
Practice Address - Street 1:7824 W. 119TH ST.
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66213-1115
Practice Address - Country:US
Practice Address - Phone:913-345-9439
Practice Address - Fax:913-339-9462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-16
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty