NPIMap

Organization Active NPI

Balance Day Spa

  • Community Health Worker
  • Shelton, WA
National Provider Identifier
1740420348
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
MA00014205 Issued in WA
Legal business name
BALANCE DAY SPA
Practice address
117 N 8TH St
Shelton, WA 98584-2564
Phone
(360) 427-3189
NPI assigned
Feb 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

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

Authorized official

Name
Joel Paul Mabry, LMPNPI 1609016203
Title
Owner/ Massage Practitoner
Phone
(360) 427-3189

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 172V00000X MA00014205 WA Primary

Addresses

Primary practice location

117 N 8TH St
Shelton, WA 98584-2564

Mailing address

117 N 8TH St
Shelton, WA 98584-2564
Phone (360) 427-3189

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1740420348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N 8TH ST",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985842564",
            "telephone_number": "360-427-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N 8TH ST",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985842564",
            "telephone_number": "360-427-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE DAY SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "MABRY",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/ MASSAGE PRACTITONER",
        "authorized_official_telephone_number": "360-427-3189",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": "WA",
            "license": "MA00014205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.