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NPI Code Detail

MEDICARE: SYRAX PLLC

MEDICARE: SYRAX PLLC
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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1255299475
Entity Type Code : Organization
Provider Name (Legal Business Name) : SYRAX PLLC
Provider Business Mailing Address
First Line : 2233 E LOCKWOOD ST
Second Line :
City : MESA
State : AZ
Zip : 85213-2256
Country : US
Telephone Number : 714-655-4570
Fax Number :
Provider Business Practice Location Address
First Line : 2233 E LOCKWOOD ST
Second Line :
City : MESA
State : AZ
Zip : 85213-2256
Country : US
Telephone Number : 714-655-4570
Fax Number :
Authorized Official
Title or Position : PHYSICAL THERAPIST
Name : RYAN CIRAC
Credential : DPT
Telephone Number : 714-655-4570
Provider Enumeration Date : 01/15/2026
Last Update Date : 01/15/2026

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Directions to “SYRAX PLLC ” Practice Location

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