Organization
REBALANCE CENTER, LLC
Active
Other names
RH WELLNESS, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENA MARIE HICKS L.M.T., L.P.T.A (OWNER)
(231) 218-1266
Entity
Organization
Contact information
Practice address
812 S GARFIELD AVE, SUITE 4, TRAVERSE CITY, MI 49686-3456
(231) 218-1266
(231) 421-9193
Mailing address
812 S GARFIELD AVE, SUITE 4, TRAVERSE CITY, MI 49686-3456
(231) 218-1266
(231) 421-9193
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501004675
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548544646
NPI TYPE 1
MI
Enumeration date
01/05/2017
Last updated
02/15/2017
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