The Balanced Being LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT-8091 Issued in CO

Legal business name

THE BALANCED BEING LLC

Practice address

1776 S Jackson St Ste 830
Denver, CO 80210-3807

Phone

(720) 219-5622

NPI assigned

Aug 14, 2018

Organization subpart

No

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

Authorized official

Name

Kelly Moore, MT, C-IAYT, CIYTNPI 1962981563

Title

Owner, Therapist

Phone

(720) 219-5622

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Moore, MT, C-IAYT, CIYT

  • Massage Therapist
  • Denver, CO
  • NPI 1962981563
  NPD (past) Authorized official

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534204800000",
    "number": "1619457215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 S JACKSON ST STE 830",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103807",
            "telephone_number": "720-219-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 S JACKSON ST STE 830",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103807",
            "telephone_number": "720-219-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BALANCED BEING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "720-219-5622",
        "authorized_official_credential": "MT, C-IAYT, CIYT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT-8091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.