Balanced Body Massage Group

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

3409 Issued in MD

Legal business name

BALANCED BODY MASSAGE GROUP

Practice address

9500 Marlboro Pike
Suite 12
Upper Marlboro, MD 20772

Phone

(301) 702-8555

Fax

(301) 702-8005

NPI assigned

May 2, 2014

Organization subpart

No

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

Authorized official

Name

Shadonne Harris, LMT

Title

Licensed Massage Therapist

Phone

(301) 702-8555

Specialties & licenses 1

Addresses

Other names 1

• E-3 Wellness Doing business as

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1689084436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 MARLBORO PIKE",
            "address_2": "SUITE 12",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "20772",
            "telephone_number": "301-702-8555",
            "fax_number": "301-702-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 MARLBORO PIKE",
            "address_2": "SUITE 12",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "20772",
            "telephone_number": "301-702-8555",
            "fax_number": "301-702-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED BODY MASSAGE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-02",
        "last_updated": "2014-05-02",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "SHADONNE",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "301-702-8555",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "3409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "E-3 Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Virginia Bailey
• Chanel Jutriste Baker
• Starr Baker
• Stephanie L Baker, P.T.
• Anne Bakiny
• Raevon Baleikasavu
• Angela M Ballard, LMT
• Olufemi Ebunolu Balogun, MD
• Sarah Balogun
• Jon Bamba, BCBA, LBA

• Massage Therapist in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Massage Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; 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.