Provider Demographics
NPI:1316554637
Name:BALANCE ACUPUNCTURE LLC
Entity Type:Organization
Organization Name:BALANCE ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER,DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEY
Authorized Official - Suffix:
Authorized Official - Credentials:DACM
Authorized Official - Phone:585-381-6490
Mailing Address - Street 1:152 W COMMERCIAL ST
Mailing Address - Street 2:
Mailing Address - City:EAST ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14445-2150
Mailing Address - Country:US
Mailing Address - Phone:585-381-6490
Mailing Address - Fax:585-381-6188
Practice Address - Street 1:152 W COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:EAST ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14445-2150
Practice Address - Country:US
Practice Address - Phone:585-381-6490
Practice Address - Fax:585-381-6188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-30
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty