Balance Bodywork

Primary specialty

SpecialistTaxonomy code 174400000X

License

MT008261 Issued in GA

Legal business name

BALANCE BODYWORK

Practice address

3685 Old Petersburg Rd Ste 105
Martinez, GA 30907-0827

Phone

(706) 284-1028

NPI assigned

Aug 3, 2015

Last updated

Aug 3, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Smith, L.M.T

Title

Massage Therapist

Phone

(706) 284-1028

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1205212149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 WINCHESTER TRL",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309073338",
            "telephone_number": "706-284-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3685 OLD PETERSBURG RD STE 105",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309070827",
            "telephone_number": "706-284-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE BODYWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "706-284-1028",
        "authorized_official_credential": "L.M.T"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "MT008261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Ayers
• Amy Bachman-Cliett, MA, BCBA
• Kimberly Bagwell, PHARMD
• Jakelia Baker
• Tamarkus Baker
• Kristy Elaine Banks-Jones, LMSW
• Jubilee Baptiste
• Barbara J. Utermark, DMD, P.C. (Utermark Orthodontics)
• Susan Elizabeth Barker, M.ED., LPC, NCC
• Ashtin Barton

• Specialist in Martinez, GA
• Providers in Martinez, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.