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General NPI Number Information
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NPI Number | 1801600036
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Entity Type | Organization
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Legal Business Name | SYNERGY INDUSTRIAL REHAB
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Dates
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Enumeration Date | 02/06/2025
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 1499 HAY CREEK VALLEY RD
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City | RED WING
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State | MN
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Zip | 55066-4907
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Country | US
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Telephone | 651-327-2880
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Fax | 651-327-2883
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Provider Business Mailing Address
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Address Line | 1499 HAY CREEK VALLEY RD
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City | RED WING
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State | MN
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Zip | 55066-4907
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Country | US
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Telephone | 406-544-7531
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | KERRI HOUCK
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Credential |
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Telephone | 406-544-7531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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