Healthcare Provider Details

I. General information

NPI: 1952815433
Provider Name (Legal Business Name): GEOFFREY SYNCO PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2017
Last Update Date: 11/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 MEDICAL CIR
NASHVILLE AR
71852-8606
US

IV. Provider business mailing address

130 MEDICAL CIR
NASHVILLE AR
71852-8606
US

V. Phone/Fax

Practice location:
  • Phone: 870-845-4400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number4393
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: