Life Balance Physical Therapy and Wellness Services LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

60076825 Issued in WA

Legal business name

LIFE BALANCE PHYSICAL THERAPY AND WELLNESS SERVICES LLC

Practice address

136 W Maple St
Sequim, WA 98382-3773

Phone

(586) 764-0430

NPI assigned

Sep 18, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Kelly Rutt, MPT

Title

Owner, Physical Therapist

Phone

(586) 764-0430

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1679942783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 W MAPLE ST",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823773",
            "telephone_number": "586-764-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 W MAPLE ST",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823773",
            "telephone_number": "586-764-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE BALANCE PHYSICAL THERAPY AND WELLNESS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "RUTT",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "586-764-0430",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "60076825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew W Lazos, PA-C
• Michael H Lazzari
• Deborah Dee Lee, PTA
• Robert H Lemon, MD
• Laura Lestage, CDPT
• Barbara A Light, LMP
• Lincare Inc.
• Rachel Diane Lindgren, PHARMD
• Shannon A Lindstrand, LMP
• Timothy A Lipski, MD

• All providers in Sequim, WA
• Physical Therapy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.