Provider Demographics
NPI:1336711498
Name:RETURN TO BALANCE, LLC
Entity Type:Organization
Organization Name:RETURN TO BALANCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOD
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:313-498-7537
Mailing Address - Street 1:500 SADDLE LN
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48236-2729
Mailing Address - Country:US
Mailing Address - Phone:313-410-1879
Mailing Address - Fax:
Practice Address - Street 1:20369 MACK AVE
Practice Address - Street 2:
Practice Address - City:GROSSE POINTE WOODS
Practice Address - State:MI
Practice Address - Zip Code:48236-1610
Practice Address - Country:US
Practice Address - Phone:313-410-1879
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-16
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty