NPI 1730625609

Body Balance Massage

Organisation Health Maintenance Organization Sandy, UT

Practice location

Address: 11075 S State St STE 31, Sandy, UT 84070-5164
Phone: (801) 414-7382
Mailing address: 8450 S 1575 E, Sandy, UT 84093-1376

Authorised official

Name: Britta Rachelle Main
Title: Massage Therapist
Phone: (801) 414-7382

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 63903914701 (UT)

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Registry record

NPI: 1730625609
Entity type: Organization
NPI issued: 16 Jan 2017
Record last updated: 16 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.