Provider Demographics
NPI:1891272464
Name:BALANCED HEALTH ACUPUNCTURE & HERBS
Entity Type:Organization
Organization Name:BALANCED HEALTH ACUPUNCTURE & HERBS
Other - Org Name:BALANCED HEALTH ACUPUNCTURE & HERBS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JILLIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-552-8752
Mailing Address - Street 1:4409 50TH AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-1427
Mailing Address - Country:US
Mailing Address - Phone:206-552-8752
Mailing Address - Fax:206-760-1730
Practice Address - Street 1:4409 50TH AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-1427
Practice Address - Country:US
Practice Address - Phone:206-552-8752
Practice Address - Fax:206-760-1730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-25
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty