Active NPI
Well Balance Bodies LLC
- Massage Therapist
- Jonesboro, GA
National Provider Identifier
1114532199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Nataki Burke, LMT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 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 DirectoryPractitioners & 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.