Provider Demographics
NPI:1982904769
Name:BETTER BALANCE LLC
Entity Type:Organization
Organization Name:BETTER BALANCE LLC
Other - Org Name:BETTER BALANCE - ORTHOTICS & FOOT COMFORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/FOOTWEAR SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:T
Authorized Official - Last Name:KEGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-833-7004
Mailing Address - Street 1:2629 E CLAIREMONT AVE
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701-6726
Mailing Address - Country:US
Mailing Address - Phone:715-833-7004
Mailing Address - Fax:
Practice Address - Street 1:2629 E CLAIREMONT AVE
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-6726
Practice Address - Country:US
Practice Address - Phone:715-833-7004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-27
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier