Organization
BAPT HOLDINGS
Active
Organization
BAPT HOLDINGS
Active
Other names
Pure Synergy Massage
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHEYENNE MARIE SALTSGAVER N/A (OFFICE MANAGER)
(217) 679-3156
Entity
Organization
Contact information
Practice address
2201 W WHITE OAKS DR, SPRINGFIELD, IL 62704-6498
(217) 679-3156
Mailing address
2201 W WHITE OAKS DR, SPRINGFIELD, IL 62704-6498
(217) 679-3156
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05
—
IL
Enumeration date
11/22/2022
Last updated
12/01/2022
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