Balanced Vitality LLC

NPI #1306574520 in Casper, Wyoming

Provider Information

NPI Number
1306574520
Entity Type
Organization
Organization Name
Balanced Vitality LLC
Primary Specialty
Clinic/Center - Health Service
Enumeration Date
Aug 15, 2022
Last Updated
Aug 15, 2022

Practice Location

Address
1125 E 2ND ST
City
Casper
State
Wyoming
ZIP Code
82601-2903
Phone
(307) 577-4225

Authorized Official

Name
DEBBIE PORTER
Title
OFFICE MANAGER
Phone
(307) 577-4225

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Health ServiceHealth Service

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