Blanaced Body Therapeutic Massage

Primary specialty

SpecialistTaxonomy code 174400000X

License

10215 Issued in CA

Legal business name

BLANACED BODY THERAPEUTIC MASSAGE

Practice address

1991 Village Park Way
Suite 206-a
Encinitas, CA 92024-1994

Phone

(760) 216-4270

NPI assigned

Apr 7, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Philippe Coudoux, HHP, CMT

Title

President/Massage Therapist

Phone

(760) 216-4270

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1326337684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 MELROSE DR",
            "address_2": "#331",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782116",
            "telephone_number": "760-216-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 VILLAGE PARK WAY",
            "address_2": "SUITE 206-A",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241994",
            "telephone_number": "760-216-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANACED BODY THERAPEUTIC MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "COUDOUX",
        "authorized_official_first_name": "PHILIPPE",
        "authorized_official_title_or_position": "PRESIDENT/MASSAGE THERAPIST",
        "authorized_official_telephone_number": "760-216-4270",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "HHP, CMT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "10215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Michael Black, DMD
• David Michael Blair, L.M.F.T.
• Sherine Blair, L.AC.
• Shaun Roland Blake, DPT
• Torrey Blake, OT
• Drew Cameron Blanchard, PT DPT
• Kim Blankemeier
• Vanessa Anne Blasic, PA-C
• Teresa L Blenggio Martinez, MFT
• Shanna Block, PHARMD

• Specialist in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.