| Organization Name: | BALANCED BODY SERVICES |
| NPI Number: | 1558542605 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JON ROBERT CHESTER (PRESIDENT) |
| Mailing Address: | 383 Shoesmith Rd Haslett |
| State: | MI US |
| Postal Code: | 488409790 |
| Phone Number: | 5173397617 |
| Fax Number: | |
| NPI Enumeration Date: | 11/16/2007 |
| NPI Last Update Date: | 11/16/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |