Dana Marija Balukas, CMT

Individual provider Active NPI Massage Therapist · Northfield, MN

NPI 1629334602 · NPPES record last updated Apr 4, 2012

Key facts

NPI
1629334602
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
Practice address
205 Division St S
Northfield, MN 55057-2014
Phone
(507) 645-8242
Fax
(507) 645-8242
NPI assigned
Apr 4, 2012
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Noble Chiropractic Clinic PA Past
since Apr 1, 2002
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X Yes

Addresses

Primary practice location

205 Division St S
Northfield, MN 55057-2014

Mailing address

205 Division St S
Northfield, MN 55057-2014
Phone (507) 645-8242

Other providers in Northfield, MN

All providers in Northfield, MN · Massage Therapist in Minnesota

Sources for this page

Verify at the official NPI Registry.