| Organization Name: | BODY BALANCE LLC |
| NPI Number: | 1013327873 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAUL J HENDRICKS (OWNER) |
| Mailing Address: | 1602 Lohmans Crossing Rd Lakeway |
| State: | TX US |
| Postal Code: | 787345160 |
| Phone Number: | 2512261869 |
| Fax Number: | 5122612237 |
| NPI Enumeration Date: | 05/02/2014 |
| NPI Last Update Date: | 05/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 1111524 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |