Body Balance Spa, LLC
NPI #1700132743 in Blacksburg, Virginia
Provider Information
- NPI Number
- 1700132743
- Entity Type
- Organization
- Organization Name
- Body Balance Spa, LLC
- Primary Specialty
- Clinic/Center - Rehabilitation
- Enumeration Date
- Jul 27, 2012
- Last Updated
- Jul 27, 2012
Practice Location
- Address
- 1997 S MAIN ST STE 604E
- City
- Blacksburg
- State
- Virginia
- ZIP Code
- 24060-6606
- Phone
- (540) 449-3035
Authorized Official
- Name
- MRS. CARRIE E BOUCHER, LMT
- Title
- OWNER/THERAPIST
- Phone
- (540) 449-3035
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation — Rehabilitation |
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