Provider Demographics
NPI:1770594509
Name:SYNERGY MASSAGE THERAPY
Entity type:Organization
Organization Name:SYNERGY MASSAGE THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:M
Authorized Official - Last Name:ZELLNER
Authorized Official - Suffix:III
Authorized Official - Credentials:CMT
Authorized Official - Phone:814-238-3000
Mailing Address - Street 1:476 ROLLING RIDGE DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-7639
Mailing Address - Country:US
Mailing Address - Phone:814-238-3000
Mailing Address - Fax:814-272-0162
Practice Address - Street 1:476 ROLLING RIDGE DR
Practice Address - Street 2:SUITE 200
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-7639
Practice Address - Country:US
Practice Address - Phone:814-238-3000
Practice Address - Fax:814-272-0162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty