Organization
BREATHE & BALANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI LEVINE BUSTOS (OWNER/OPERATOR)
(617) 794-9751
Entity
Organization
Contact information
Practice address
814 19TH ST, CODY, WY 82414-3839
(617) 794-9751
Mailing address
814 19TH ST, CODY, WY 82414-3839
(617) 794-9751
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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