Organization Active NPI

Balance Salon, Inc

  • Prosthetic/Orthotic Supplier
  • Southwick, MA
National Provider Identifier
1508317694
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
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
Last updated
Oct 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Authorized official

Name
Ms. Susan C Manolakis
Title
Owner
Phone
(413) 569-9550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

535 College Hwy
Southwick, MA 01077-9813

Mailing address

535 College Hwy
PO Box 1092
Southwick, MA 01077-9813
Phone (413) 569-9550

National Provider Directory

National Provider Directory

Locations

535 College Hwy
Southwick, MA 01077
Phone (413) 569-9550

NPI Registry JSON

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

{
    "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": []
}

Other providers in Southwick, MA

Sources for this page

  • 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.