Provider Demographics
NPI:1730466244
Name:PERFECT BALANCE MASSAGE
Entity Type:Organization
Organization Name:PERFECT BALANCE MASSAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:CUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-221-4884
Mailing Address - Street 1:34351 CHARDON RD
Mailing Address - Street 2:UNIT E
Mailing Address - City:WILLOUGHBY HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44094-8492
Mailing Address - Country:US
Mailing Address - Phone:440-833-0557
Mailing Address - Fax:440-833-0559
Practice Address - Street 1:34351 CHARDON RD
Practice Address - Street 2:UNIT E
Practice Address - City:WILLOUGHBY HILLS
Practice Address - State:OH
Practice Address - Zip Code:44094-8492
Practice Address - Country:US
Practice Address - Phone:440-833-0557
Practice Address - Fax:440-833-0559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-11
Last Update Date:2011-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation