Back In Balance Massage And Wellness LLC
Massage Therapist in Fort Wayne, IN. Organization (NPI-2).
NPI number1265833255
StatusActive
Last updated in NPPESSep 25, 2015
Details
- NPI
- 1265833255
- Entity type
- Organization (NPI-2)
- Legal business name
- Back In Balance Massage And Wellness LLC
- Organization subpart
- No
- Enumeration date
- Sep 9, 2014
- Last updated
- Sep 25, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | – | Yes |
Practice location
10340 Coldwater RdFort Wayne, IN 46825-2033
Phone 260-755-3866
Mailing address
10340 Coldwater RdFort Wayne, IN 46825-2033
Phone 260-755-3866
Authorized official
Mettco Sabic
Owner
2067553866
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All 59 Massage Therapist providers in Fort Wayne · All 11,302 providers in Fort Wayne
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