Synergy Soft Tissue

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8110750-1202 Issued in UT

Legal business name

SYNERGY SOFT TISSUE

Doing business as

Synergy Soft Tisscue Center

Practice address

1260 N 200 E Ste 16
Logan, UT 84341-2382

Phone

(435) 245-7555

Fax

(435) 245-7607

NPI assigned

Oct 15, 2013

Last updated

Dec 7, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Timothy Bailey, DCNPI 1891063731

Title

Owner/Doctor

Phone

(435) 245-7555

Specialties & licenses 1

Addresses

Other names 1

• Synergy Soft Tisscue Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy Bailey, D.C.

  • Chiropractor
  • Logan, UT
  • NPI 1891063731
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544140800000",
    "number": "1699103416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 N 200 E STE 16",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412382",
            "telephone_number": "435-245-7555",
            "fax_number": "435-245-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 N 200 E STE 16",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412382",
            "telephone_number": "435-245-7555",
            "fax_number": "435-245-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY SOFT TISSUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-15",
        "last_updated": "2018-12-07",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "435-245-7555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "8110750-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy Soft Tisscue Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Synergy Soft Tisscue Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kassidi Swainston, RN
• Charles T Swallow, MD
• Jennie Swartz
• Julie Swensen, LCSW
• Jonathan B. Swenson, M.D.
• Systems-Based Therapy, PLLC
• Agnieszka M Szpunar, MD
• Val Szpunar, P.T.
• Paige Alene Tackett
• Kimberly Lynn Tagg, FNP-BC

• Chiropractor in Logan, UT
• Providers in Logan, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.