Fundamental Balance INC

NPI #1629479548 in Lakewood, Colorado

Provider Information

NPI Number: 1629479548
Entity Type: Organization
Organization Name: Fundamental Balance INC
Primary Specialty: Massage Therapist
Enumeration Date: Sep 10, 2014
Last Updated: Sep 10, 2014

Practice Location

Address: 3900 S WADSWORTH BLVD
Address 2: SUITE 325
City: Lakewood
State: Colorado
ZIP Code: 80235-2203
Phone: (720) 939-8948

Authorized Official

Name: NATHAN FISK
Title: PRESIDENT
Phone: (720) 939-8948

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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