Organization
STRUCTURAL SYNERGY LLC
Active
Other names
Structural Synergy
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA STAR JENSEN LMT (OWNER/PRACTITIONER)
(505) 402-1885
Entity
Organization
Contact information
Practice address
50 MAIN ST STE 206-3, PRIEST RIVER, ID 83856-6758
(505) 402-1885
Mailing address
50 MAIN ST STE 206-3, PRIEST RIVER, ID 83856-6758
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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