Provider Demographics
NPI:1356823629
Name:BALANCE & ACUPUNCTURE
Entity Type:Organization
Organization Name:BALANCE & ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WEIXIAO
Authorized Official - Middle Name:
Authorized Official - Last Name:XIA
Authorized Official - Suffix:
Authorized Official - Credentials:L AC
Authorized Official - Phone:507-722-0368
Mailing Address - Street 1:1917 NORTHERN VIOLA LN NE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55906-6945
Mailing Address - Country:US
Mailing Address - Phone:507-722-0368
Mailing Address - Fax:
Practice Address - Street 1:20 2ND AVE SW STE B100
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55902-3000
Practice Address - Country:US
Practice Address - Phone:507-722-0368
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-04
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1737171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty