| Organization Name: | SYNERGY PHYSICAL THERAPY & SPORTS MEDICINE, P.C. |
| NPI Number: | 1881080984 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KURT MICHAEL WALDERBACH (PRESIDENT/OWNER) |
| Mailing Address: | 1612 S Grand Ave Charles City |
| State: | IA US |
| Postal Code: | 506163653 |
| Phone Number: | 6417151230 |
| Fax Number: | 6417151231 |
| NPI Enumeration Date: | 04/15/2015 |
| NPI Last Update Date: | 04/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 01369 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |