Body Balance Massage

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

63903914701 Issued in UT

Legal business name

BODY BALANCE MASSAGE

Practice address

11075 S State St
Ste 31
Sandy, UT 84070-5164

Phone

(801) 414-7382

NPI assigned

Jan 16, 2017

Last updated

Jan 16, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Britta Rachelle Main

Title

Massage Therapist

Phone

(801) 414-7382

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484524800000",
    "number": "1730625609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 S 1575 E",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840931376",
            "telephone_number": "801-414-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11075 S STATE ST",
            "address_2": "STE 31",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840705164",
            "telephone_number": "801-414-7382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY BALANCE MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-16",
        "last_updated": "2017-01-16",
        "status": "A",
        "authorized_official_last_name": "MAIN",
        "authorized_official_first_name": "BRITTA",
        "authorized_official_middle_name": "RACHELLE",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "801-414-7382",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "UT",
            "license": "63903914701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bluestar Home Health LLC
• Bma Servies, PLLC
• Carolee Boam, RN
• Bod Squad, LLC, the (Bod Squad, the)
• William Hobson Bodell, MS
• Body Chiropractic PLLC
• David Robert Boettger, M.D.
• Karen Bohn, PA-C
• Sonnet L Bonck, RD
• Bond Pelvic Health LLC

• Health Maintenance Organization in Sandy, UT
• Providers in Sandy, UT by specialty
• Health Maintenance Organization in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; 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.