Organization
BACK IN BALANCE MASSAGE AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
METTCO SABIC (OWNER)
(206) 755-3866
Entity
Organization
Contact information
Practice address
10340 COLDWATER RD, FORT WAYNE, IN 46825-2033
(260) 755-3866
Mailing address
10340 COLDWATER RD, FORT WAYNE, IN 46825-2033
(260) 755-3866
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/09/2014
Last updated
09/25/2015
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