Balance for Life: Mind, Body & Soul Healing

NPI #1467126201 in Seiden, New York

Provider Information

NPI Number: 1467126201
Entity Type: Organization
Organization Name: Balance for Life: Mind, Body & Soul Healing
Subpart: Yes (part of a larger organization)
Parent Organization: CLOUD 9 MASSAGE THERAPY, PC
Primary Specialty: Massage Therapist
Enumeration Date: Aug 5, 2021
Last Updated: Aug 5, 2021

Practice Location

Address: 248 MIDDLE COUNTRY ROAD
Address 2: SUITE 16B
City: Seiden
State: New York
ZIP Code: 11784-2570
Phone: (631) 736-9999

Authorized Official

Name: MS. KATHERINE MONGIELLO, LMT
Title: OWNER/ LICENSED MASSAGE THERAPIST
Phone: (631) 736-9999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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