Provider Demographics
NPI:1508182056
Name:SYNERGY INTEGRATIVE HEALTH SOLUTIONS INC.
Entity Type:Organization
Organization Name:SYNERGY INTEGRATIVE HEALTH SOLUTIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:B
Authorized Official - Last Name:WALLACE
Authorized Official - Suffix:
Authorized Official - Credentials:CMT
Authorized Official - Phone:303-759-1400
Mailing Address - Street 1:695 S COLORADO BLVD
Mailing Address - Street 2:SUITE 265
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-8008
Mailing Address - Country:US
Mailing Address - Phone:303-759-1400
Mailing Address - Fax:888-308-3357
Practice Address - Street 1:695 S COLORADO BLVD
Practice Address - Street 2:SUITE 265
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-8008
Practice Address - Country:US
Practice Address - Phone:303-759-1400
Practice Address - Fax:888-308-3357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-08
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty