| Synergy Soft Tisscue Center | |
|
1260 N 200 E Ste 16, Logan, UT 84341-2382 | |
| (435) 245-7555 | |
| (435) 245-7607 |
| Full Name | Synergy Soft Tisscue Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1260 N 200 E Ste 16, Logan, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699103416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 8110750-1202 (Utah) | Primary |
| Provider Name | Timothy Bailey |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1891063731 PECOS PAC ID: 7315109162 Enrollment ID: I20120424000540 |
| Mailing Address | Practice Location Address |
|---|---|
| Synergy Soft Tisscue Center 1260 N 200 E Ste 16, Logan, UT 84341-2382 Ph: (435) 245-7555 | Synergy Soft Tisscue Center 1260 N 200 E Ste 16, Logan, UT 84341-2382 Ph: (435) 245-7555 |
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