Individual
MR. MARK STANLEY BALAWENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T., M.M.P.D.
Contact information
Practice address
11932 ROSETHORN DR, AUSTIN, TX 78758-3301
(413) 441-1746
Mailing address
11932 ROSETHORN DR, AUSTIN, TX 78758-3301
(413) 441-1746
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT122520
TX
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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