| Organization Name: | HEALTHY BALANCE NATURAL MEDICINE PLLC |
| NPI Number: | 1629450739 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KEVIN SHAW (CLINIC DIRECTOR) |
| Mailing Address: | 2804 Grand Ave Ste. 300 Everett |
| State: | WA US |
| Postal Code: | 982013430 |
| Phone Number: | 4252584633 |
| Fax Number: | 4252584644 |
| NPI Enumeration Date: | 06/25/2015 |
| NPI Last Update Date: | 06/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | DI60509959 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |