Balanced Spine LLC

NPI #1265465058 in Issaquah, Washington

Provider Information

NPI Number: 1265465058
Entity Type: Organization
Organization Name: Balanced Spine LLC
Primary Specialty: Chiropractor
Enumeration Date: Jul 8, 2006
Last Updated: Jun 8, 2011

Practice Location

Address: 22525 SE 64TH PL
Address 2: SUITE 110
City: Issaquah
State: Washington
ZIP Code: 98027-5383
Phone: (425) 369-1040

Authorized Official

Name: DR. SEAN J FRYER, DC
Title: MANAGING MEMBER
Phone: (425) 369-1040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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