# BALANCED LIVING CHIROPRACTIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396724480
- **Authorized official:** KEVIN P PHALEN D.C. (GENERAL PARTNER)
- **Authorized official phone:** (716) 832-1818

## Contact information

- **Practice address:** 2140 EGGERT RD, SUITE B, AMHERST, NY 14226-2055
- **Practice address phone:** (716) 832-1818
- **Practice address fax:** (716) 832-7815
- **Mailing address:** 2140 EGGERT RD, SUITE B, AMHERST, NY 14226-2055
- **Mailing address phone:** (716) 832-1818
- **Mailing address fax:** (716) 832-7815

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X010360-1 X010361-1 | NY | Yes |

## Other

- **Enumeration date:** 01/17/2006
- **Last updated:** 08/22/2020