Balanced Body Wellness Centre, LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

CHIR0006878 Issued in GA

Legal business name

BALANCED BODY WELLNESS CENTRE, LLC

Practice address

5150 Stilesboro Rd NW
Suite 420
Kennesaw, GA 30152-7744

Phone

(770) 425-6068

Fax

(770) 425-6085

NPI assigned

Apr 11, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tamera Firnbach, D.C.NPI 1629270483

Title

Owner

Phone

(770) 425-6068

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tamera Firnbach, D.C.

  • Acupuncturist
  • Kennesaw, GA
  • NPI 1629270483
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1073786984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 STILESBORO RD NW",
            "address_2": "SUITE 420",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301527744",
            "telephone_number": "770-425-6068",
            "fax_number": "770-425-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 STILESBORO RD NW",
            "address_2": "SUITE 420",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301527744",
            "telephone_number": "770-425-6068",
            "fax_number": "770-425-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED BODY WELLNESS CENTRE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "FIRNBACH",
        "authorized_official_first_name": "TAMERA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-425-6068",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "GA",
            "license": "CHIR0006878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth W Baird, PT
• Ellen Burt Baker, LPC
• Megan Baker, DC
• Michael F Baker, RPH
• Balanced Body Acupuncture & Aesthetics, LLC
• Balanced River Chiropractic LLC
• Ballard Chiropractic Clinic, P.C.
• Carolyn Ballard, D.C.
• Steven J Balmes, PT
• Amari Banks, OTR/L

• Preferred Provider Organization in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Preferred Provider Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.