MEDICARE: SYRESP INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2279P1005X	Pulmonary Rehabilitation Registered Respiratory Therapist

General Provider Information

NPI Number	:	1699408054
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYRESP INC

Provider Business Mailing Address
First Line	:	1200 HASTINGS CT
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29732-9046
Country	:	US
Telephone Number	:	704-361-0371
Fax Number	:

Provider Business Practice Location Address
First Line	:	6539 BUCHANAN CROSSING DR
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66102-3034
Country	:	US
Telephone Number	:	913-485-5954
Fax Number	:

Authorized Official
Title or Position	:	TREASURER
Name	:	JEFFREY SEIBERT
Credential	:
Telephone Number	:	704-361-0371

Provider Enumeration Date	:	07/05/2022
Last Update Date	:	01/25/2023

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