Provider Demographics
NPI:1598004665
Name:BALANCED THERAPEUTICS, LLC
Entity Type:Organization
Organization Name:BALANCED THERAPEUTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MASSAGE THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZULEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:734-306-5116
Mailing Address - Street 1:3939 VAN HORN RD
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48183-4013
Mailing Address - Country:US
Mailing Address - Phone:734-306-5116
Mailing Address - Fax:734-574-6006
Practice Address - Street 1:3939 VAN HORN RD
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:MI
Practice Address - Zip Code:48183-4013
Practice Address - Country:US
Practice Address - Phone:734-306-5116
Practice Address - Fax:734-574-6006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-08
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty