Rebalance Center, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501004675 Issued in MI

Legal business name

REBALANCE CENTER, LLC

Practice address

812 S Garfield Ave
Suite 4
Traverse City, MI 49686-3456

Phone

(231) 218-1266

Fax

(231) 421-9193

NPI assigned

Jan 5, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Rena Marie Hicks, L.M.T., L.P.T.ANPI 1548544646

Title

Owner

Phone

(231) 218-1266

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RH WELLNESS, LLC Former legal business name

Locations

Practitioners 1

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

• Rena Marie Hicks, L.M.T

  • Massage Therapist
  • Traverse City, MI
  • NPI 1548544646
  NPD (past) Authorized official

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1164967725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 S GARFIELD AVE",
            "address_2": "SUITE 4",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863456",
            "telephone_number": "231-218-1266",
            "fax_number": "231-421-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 S GARFIELD AVE",
            "address_2": "SUITE 4",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863456",
            "telephone_number": "231-218-1266",
            "fax_number": "231-421-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBALANCE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "RENA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-218-1266",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.M.T., L.P.T.A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501004675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1548544646",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RH WELLNESS, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Valleri Raupp, NP
• Jayden Ranay Rawlin
• Joseph William Rawlin, DO
• Jessica Ray
• Amy Lynn Ream, AT.,C
• Dino Recchia, M.D.
• Mikenna Marie Reddick Henry
• Amanda Jean Reddy, P.A.-C
• Leslie Joan Redmond, M.A.,LMFT
• Rebecca Redmond, LMSW

• Massage Therapist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.