Healthcare Provider Details

I. General information

NPI: 1780741439
Provider Name (Legal Business Name): SYNERGY HEALTHCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 12/17/2019
Certification Date: 12/17/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12012 E MISSION AVE
SPOKANE VALLEY WA
99206-4887
US

IV. Provider business mailing address

12012 E MISSION AVE
SPOKANE VALLEY WA
99206-4887
US

V. Phone/Fax

Practice location:
  • Phone: 509-444-8383
  • Fax: 509-413-1673
Mailing address:
  • Phone: 509-444-8383
  • Fax: 509-413-1673

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: KELLI ANDERSON
Title or Position: BILLING MANAGER
Credential:
Phone: 509-413-1630