Organization
SYNERGY CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KORY L KREUSEL DC (OWNER)
(208) 939-1500
Entity
Organization
Contact information
Practice address
5418 N EAGLE RD, STE. 120, BOISE, ID 83713-0998
(208) 939-1500
Mailing address
5418 N EAGLE RD, STE. 120, BOISE, ID 83713-0998
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1378
ID
133V00000X
Registered Dietitian
D-468
ID
Other
Enumeration date
08/27/2013
Last updated
03/31/2016
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