Healthcare Provider Details

I. General information

NPI: 1194972927
Provider Name (Legal Business Name): SYNERGY HEALTH AND WELLNESS,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2008
Last Update Date: 05/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 W LITTLETON BLVD STE 200
LITTLETON CO
80120-2239
US

IV. Provider business mailing address

1100 W LITTLETON BLVD STE 200
LITTLETON CO
80120-2239
US

V. Phone/Fax

Practice location:
  • Phone: 303-471-1071
  • Fax:
Mailing address:
  • Phone: 303-471-1071
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code173C00000X
TaxonomyReflexologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateCO
# 4
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State

VIII. Authorized Official

Name: MRS. ERIKKA M KEEFER
Title or Position: OWNER
Credential: C.M.T., C.S.N.,C.P.
Phone: 303-471-1071