Equilibrium LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA 83440 Issued in FL

Legal business name

EQUILIBRIUM LLC

Practice address

4570 W 77TH St
Suite 140
Edina, MN 55435-5008

Phone

(952) 500-8733

NPI assigned

Feb 21, 2017

Organization subpart

No

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

Authorized official

Name

Alexie Melchior

Title

Owner

Phone

(352) 870-5380

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1205375433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4624 XERXES AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554101862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4570 W 77TH ST",
            "address_2": "SUITE 140",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355008",
            "telephone_number": "952-500-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUILIBRIUM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "MELCHIOR",
        "authorized_official_first_name": "ALEXIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-870-5380"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 83440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin D Englund, PT, DPT
• Jonathan H Engman, MD
• Pegah Entezari, M.D.
• Esther Chinedu Enu-Adediran, M.D.
• Harriet L Enubuzor, MD
• Equilibrium Wellness Center, LLC
• Eric Richard Nelson MD
• Eric W. Larson, M.D., PLLC
• Brooke Erickson, MD
• Emma Erickson, PHD

• Massage Therapist in Edina, MN
• Providers in Edina, MN by specialty
• Massage Therapist in Minnesota

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