Provider Demographics
NPI:1043751381
Name:BALANCE MEDICAL AND REHAB, PLLC
Entity Type:Organization
Organization Name:BALANCE MEDICAL AND REHAB, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNDSEY
Authorized Official - Middle Name:P
Authorized Official - Last Name:POWERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:731-686-8636
Mailing Address - Street 1:1133 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MILAN
Mailing Address - State:TN
Mailing Address - Zip Code:38358-2725
Mailing Address - Country:US
Mailing Address - Phone:731-686-8636
Mailing Address - Fax:731-686-8635
Practice Address - Street 1:1133 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MILAN
Practice Address - State:TN
Practice Address - Zip Code:38358-2725
Practice Address - Country:US
Practice Address - Phone:731-686-8636
Practice Address - Fax:731-686-8635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-20
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty