Organization
BODY BALANCE MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRITTA RACHELLE MAIN (MASSAGE THERAPIST)
(801) 414-7382
Entity
Organization
Contact information
Practice address
11075 S STATE ST, STE 31, SANDY, UT 84070-5164
(801) 414-7382
Mailing address
8450 S 1575 E, SANDY, UT 84093-1376
(801) 414-7382
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
63903914701
UT
Other
Enumeration date
01/16/2017
Last updated
01/16/2017
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