Balance Salon, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

BALANCE SALON, INC

Practice address

535 College Hwy
Southwick, MA 01077-9813

Phone

(413) 569-9550

Fax

(413) 566-7235

NPI assigned

Oct 24, 2016

Organization subpart

No

Name

Ms. Susan C Manolakis

Title

Owner

Phone

(413) 569-9550

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 24, 2016.

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1508317694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 COLLEGE HWY",
            "address_2": "PO BOX 1092",
            "city": "SOUTHWICK",
            "state": "MA",
            "postal_code": "010779813",
            "telephone_number": "413-569-9550",
            "fax_number": "413-566-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 COLLEGE HWY",
            "city": "SOUTHWICK",
            "state": "MA",
            "postal_code": "010779813",
            "telephone_number": "413-569-9550",
            "fax_number": "413-566-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE SALON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "MANOLAKIS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-569-9550",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Anthony Agapis, DDS
• Ambiance Wig & Prosthetics
• Kathleen Marie Angco-Vieweg
• Jerome Morris Azia, D.D.S,
• Tanya Lee Bailey, FNP-BC
• Cara Rose Balboni, LICSW
• Joseph Andrew Barone, LICSW
• Laura Marie Battistoni
• Samantha Beaudry
• Thomas J Borek, DDS

• All providers in Southwick, MA
• Prosthetic/Orthotic Supplier in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.