Balanced Life Spa

NPI #1659934768 in Anacortes, Washington

Provider Information

NPI Number: 1659934768
Entity Type: Organization
Organization Name: Balanced Life Spa
Primary Specialty: Massage Therapist
Enumeration Date: Apr 16, 2019
Last Updated: Apr 16, 2019

Practice Location

Address: 1010A 6TH ST
City: Anacortes
State: Washington
ZIP Code: 98221-1718
Phone: (360) 610-7830

Authorized Official

Name: MR. SEAN ELBY MCCOOL, LMT
Title: MT
Phone: (360) 214-4448

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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