Organization
WELL BALANCED MASSAGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONAN MERRICK (OWNER)
(631) 681-5875
Entity
Organization
Contact information
Practice address
1050 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776-1214
(631) 228-7897
Mailing address
1050 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776-1214
(631) 228-7897
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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