Balanced Body Wellness LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

BALANCED BODY WELLNESS LLC

Practice address

10000 Watson Rd Ste 2-L26
Saint Louis, MO 63126-1848

Phone

(314) 501-0241

NPI assigned

Oct 21, 2024

Last updated

Oct 21, 2024By 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

Mrs. Deborah Hernandez, LMTNPI 1982428892

Title

Owner

Phone

(314) 501-0241

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deborah Hernandez, LMT

  • Massage Therapist
  • Saint Louis, MO
  • NPI 1982428892
  NPD Authorized official

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1770304974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 WATSON RD STE 2-L26",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261848",
            "telephone_number": "314-501-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 WATSON RD STE 2-L26",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261848",
            "telephone_number": "314-501-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED BODY WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-501-0241",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Shalim Baksh, MD
• Rahm Jai Bakshi, DO
• Charles Stewart Bakula, DDS
• Balasudha Baladhandayutham, BDS, MSD
• Balanced Body Rehab LLC
• Balanced Life Counseling & Consulting
• Balanced Longevity Chiropractic Dba Alignlife of St. Louis Southwest
• Balanced Nutrition Therapy, LLC
• Balanced Recovery Physical Therapy LLC
• Joseph Daniel Balassi, CRNA

• Massage Therapist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Massage Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.