Bodybalance Pt Twin Falls Llc

NPI 1043657828 - Clinic/Center - 261QR0400X

NPI Details
NPI 1043657828
Enumeration Date 06/03/2013
Last Updated 06/03/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name DENNIS DENNIS
Position MANAGER
Phone (208) 934-9011
Fax
Practice Location
657 BLUE LAKES BLVD N
TWIN FALLS ID, 83301-4036, US
Phone (208) 934-9011
Fax
Business Location
1896 CANDLERIDGE DR
TWIN FALLS ID, 83301-8302, US
Phone (208) 734-6172
Fax
Toxanomy
Taxonomy Code 261QR0400X
License State
License Number
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According to our database, Bodybalance Pt Twin Falls Llc NPI is 1043657828, taxonomy code is 261QR0400X Bodybalance Pt Twin Falls Llc physically located at 657 Blue Lakes Blvd N, Twin Falls ID, 83301-4036. NPI Number 1033115704 has the healthcare provider type.

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1043657828 NPI number is provided on an as is basis without warranty of any kind. 1043657828 is maintained by the National Plan & Provider Enumeration System. The contents of Bodybalance Pt Twin Falls Llc are for informational purposes only.