Provider Demographics
NPI:1801600036
Name:SYNERGY INDUSTRIAL REHAB
Entity type:Organization
Organization Name:SYNERGY INDUSTRIAL REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:HOUCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-544-7531
Mailing Address - Street 1:1499 HAY CREEK VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:RED WING
Mailing Address - State:MN
Mailing Address - Zip Code:55066-4907
Mailing Address - Country:US
Mailing Address - Phone:406-544-7531
Mailing Address - Fax:
Practice Address - Street 1:1499 HAY CREEK VALLEY RD
Practice Address - Street 2:
Practice Address - City:RED WING
Practice Address - State:MN
Practice Address - Zip Code:55066-4907
Practice Address - Country:US
Practice Address - Phone:651-327-2880
Practice Address - Fax:651-327-2883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-06
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty