Balanced Life Spa

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

BALANCED LIFE SPA

Practice address

1010A 6TH St
Anacortes, WA 98221-1718

Phone

(360) 610-7830

NPI assigned

Apr 16, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Sean Elby McCool, LMT

Title

Mt

Phone

(360) 214-4448

Specialties & licenses 1

Addresses

Other names 1

• Balanced Life Spa Former legal business name

Locations

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555372800000",
    "number": "1659934768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010A 6TH ST",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982211718",
            "telephone_number": "360-214-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010A 6TH ST",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982211718",
            "telephone_number": "360-610-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED LIFE SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-04-16",
        "status": "A",
        "authorized_official_last_name": "MCCOOL",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "ELBY",
        "authorized_official_title_or_position": "MT",
        "authorized_official_telephone_number": "360-214-4448",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balanced Life Spa",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ashley Ayers, O.D.
• Jeren Babcock, PHARMD
• Angela Rose Babos, SUDP
• Mark Backman, M.D.
• Kimberly A Baker, CP61009456
• Thomas M Balestreri, MD
• Richard Baluyot, DO
• Kathryn Elieen Barnhart
• Giszelle Roberta Barr, RN, BSN
• Donald Haldeman Baumer III, ARNP

• Massage Therapist in Anacortes, WA
• Providers in Anacortes, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.