Organization Active NPI

Well Balance Bodies LLC

  • Massage Therapist
  • Jonesboro, GA
National Provider Identifier
1114532199
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
WELL BALANCE BODIES LLC
Practice address
10305 Misty Ridge Dr
Jonesboro, GA 30238-8027
Phone
(404) 220-8611
NPI assigned
Sep 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Authorized official

Name
Ms. Nataki Burke, LMTNPI 1922338292
Title
Ceo
Phone
(404) 220-8611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

10305 Misty Ridge Dr
Jonesboro, GA 30238-8027

Mailing address

10305 Misty Ridge Dr
Jonesboro, GA 30238-8027
Phone (404) 220-8611

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1114532199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10305 MISTY RIDGE DR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302388027",
            "telephone_number": "404-220-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10305 MISTY RIDGE DR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302388027",
            "telephone_number": "404-220-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL BALANCE BODIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "NATAKI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-220-8611",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.