NPIMap

Organization Active NPI

Balanced Body Therapeutic Massage, LLC

  • Massage Therapist
  • Bethlehem, PA
National Provider Identifier
1205357936
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MSG1705 Issued in PA
Legal business name
BALANCED BODY THERAPEUTIC MASSAGE, LLC
Practice address
227 W Broad St Ste 102
Bethlehem, PA 18018
Phone
(610) 653-7701
Fax
(833) 882-1326
NPI assigned
Jul 3, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Kristin Kymer, LMTNPI 1225421258
Title
Owner, LMT
Phone
(610) 653-7701

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 Therapist 225700000X MSG1705 PA Primary

Addresses

Primary practice location

227 W Broad St Ste 102
Bethlehem, PA 18018

Mailing address

227 W Broad St Ste 102
Bethlehem, PA 18018-5570
Phone (610) 653-7701

Other practice location 1

419 State Ave Ste 5
Emmaus, PA 18049-3057
Phone (610) 653-7701

National Provider Directory

National Provider Directory

Locations

227 W Broad St
Ste 102
Bethlehem, PA 18018
Phone (610) 653-7701

419 State Ave
Ste 5
Emmaus, PA 18049
Phone (610) 653-7701

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1205357936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 W BROAD ST STE 102",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185570",
            "telephone_number": "610-653-7701",
            "fax_number": "844-403-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 W BROAD ST STE 102",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "18018",
            "telephone_number": "610-653-7701",
            "fax_number": "833-882-1326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "419 State Ave Ste 5",
            "address_purpose": "LOCATION",
            "city": "Emmaus",
            "state": "PA",
            "postal_code": "180493057",
            "country_code": "US",
            "telephone_number": "610-653-7701",
            "fax_number": "833-882-1326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BALANCED BODY THERAPEUTIC MASSAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-03",
        "last_updated": "2022-07-21",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "KYMER",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OWNER, LMT",
        "authorized_official_telephone_number": "610-653-7701",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG1705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.