Provider Demographics
NPI:1922753110
Name:SYNERGY WELLNESS & PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:SYNERGY WELLNESS & PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:641-332-2928
Mailing Address - Street 1:109 N 1ST ST
Mailing Address - Street 2:
Mailing Address - City:GUTHRIE CENTER
Mailing Address - State:IA
Mailing Address - Zip Code:50115-1307
Mailing Address - Country:US
Mailing Address - Phone:647-332-2829
Mailing Address - Fax:
Practice Address - Street 1:109 N 1ST ST
Practice Address - Street 2:
Practice Address - City:GUTHRIE CENTER
Practice Address - State:IA
Practice Address - Zip Code:50115-1307
Practice Address - Country:US
Practice Address - Phone:647-332-2829
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-16
Last Update Date:2023-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty