Balance Sport & Spine LLC

NPI #1497153993 in Mc Lean, Virginia

Provider Information

NPI Number: 1497153993
Entity Type: Organization
Organization Name: Balance Sport & Spine LLC
Primary Specialty: Chiropractor
Enumeration Date: Dec 15, 2014
Last Updated: Dec 15, 2014

Practice Location

Address: 6862 ELM ST
Address 2: SUITE 600
City: Mc Lean
State: Virginia
ZIP Code: 22101-3897
Phone: (202) 674-0644

Authorized Official

Name: DR. ADRIANA BACKUS
Title: MANAGING MEMBER
Phone: (202) 674-0644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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