Organization Name: | BALANCED HEALTH CHIROPRACTIC, PA |
NPI Number: | 1003038464 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KELLY KUKA (OWNER) |
Mailing Address: | 12805 State Highway 55 Suite 208 Plymouth |
State: | MN US |
Postal Code: | 55441 |
Phone Number: | 7635577399 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 4632 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |