| NPI | 1154063832 | 
|---|---|
| Doing Business As | STRUCTURAL SYNERGY | 
| Entity Type | Organization | 
| Authorized Contact | GLORIA STAR JENSEN Owner/Practitioner 505-402-1885 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 225700000X Massage Therapist | 
| Enumeration Date | 2022-04-12 | 
| Last Update Date | 2022-04-12 |