Structural Synergy LLC
Organization Active NPI Massage Therapist · Priest River, ID
NPI 1154063832 · NPPES record last updated Apr 12, 2022
Key facts
- NPI
- 1154063832
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Massage Therapist 225700000X
- Legal business name
- STRUCTURAL SYNERGY LLC
- Practice address
- 50 Main St Ste 206-3
Priest River, ID 83856-6758 - Phone
- (505) 402-1885
- NPI assigned
- Apr 12, 2022
- Organization subpart
- No
Authorized official
- Name
- Gloria Star Jensen, LMT
- Title
- Owner/Practitioner
- Phone
- (505) 402-1885
Practitioners 1
-
Gloria Star Jensen, MANUAL THERAPIST
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist |
225700000X | Yes |
Addresses
Primary practice location
50 Main St Ste 206-3
Priest River, ID 83856-6758
Mailing address
50 Main St Ste 206-3
Priest River, ID 83856-6758
Other names
- Structural Synergy
Other providers in Priest River, ID
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- Peregrine Corp, PC
- Priest River Dental Care
- Bretta Schmidt
- Sequel Alliance Family Services, LLC
- Donalee Taute
- The Peckham Foundation, Inc
- Tyler Shoemaker DMD PC
- David Michael Underhill
- Thomas Vanderholm
All providers in Priest River, ID · Massage Therapist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.