Organization
PURE BALANCE HOLISTIC HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRYSTAL L COUTURE PT (PHYSICAL THERAPIST, OWNER)
(603) 387-3347
Entity
Organization
Contact information
Practice address
3 FRONT ST STE 408, ROLLINSFORD, NH 03869-7001
(603) 387-3347
(603) 343-4708
Mailing address
3 FRONT ST STE 408, PO BOX 492, ROLLINSFORD, NH 03869-7001
(603) 387-3347
(603) 343-4708
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
3158
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942301965
NPI INDIVIDUAL PROVIDER IDENTIFIER
—
Enumeration date
03/25/2009
Last updated
11/02/2012
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