NPIMap

Organization Active NPI

A Balanced Life Center PLLC

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1134449762
Registry record updated Jun 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 00020739 Issued in WA
Legal business name
A BALANCED LIFE CENTER PLLC
Practice address
100 W 11TH St
Suite B
Vancouver, WA 98660-3352
Phone
(360) 693-2112
Fax
(360) 735-9058
NPI assigned
Jun 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2010

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

Authorized official

Name
Sabrina A Wright, LMPNPI 1245382589
Title
Manager
Phone
(360) 693-2112

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 MA 00020739 WA Primary

Addresses

Primary practice location

100 W 11TH St
Suite B
Vancouver, WA 98660-3352

Mailing address

100 W 11TH St
Suite B
Vancouver, WA 98660-3352
Phone (360) 693-2112

National Provider Directory

National Provider Directory

Locations

100 W 11th St
Ste B
Vancouver, WA 98660
Phone (360) 521-4190

Practitioners & affiliated clinicians

Practitioners 3

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": "1275696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275696000000",
    "number": "1134449762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W 11TH ST",
            "address_2": "SUITE B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603352",
            "telephone_number": "360-693-2112",
            "fax_number": "360-735-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W 11TH ST",
            "address_2": "SUITE B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603352",
            "telephone_number": "360-693-2112",
            "fax_number": "360-735-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A BALANCED LIFE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-05",
        "last_updated": "2010-06-05",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "360-693-2112",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 00020739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2010; 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.