institution
Balanced Vitality Llc
Health Service Clinic/Center in Casper, Wyoming
NPI 1306574520

Balanced Vitality Llc is a Health Service Clinic/Center based in Casper, WY and is specialized in Health Service. Balanced Vitality Llc practices in Casper, WY. The NPI Number for Balanced Vitality Llc is 1306574520 and holds a License No. (Wyoming).

The current practice location address for Balanced Vitality Llc is 1125 E 2Nd St, Casper, WY and can be reached out via phone at 307-577-4225 and via fax at 307-577-4229.

Location: 1125 E 2Nd St, Casper, WY, 82601-2903
institution
Provider Profile Details
NPI Number
1306574520
Provider Name
Balanced Vitality Llc
Credential
Provider Entity Type
Organization
Address
1125 E 2Nd St, Casper, WY, 82601-2903
Phone Number
307-577-4225
Fax Number
307-577-4229
Provider Enumeration Date
08/15/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1477894756 05 WY
1013083740 05 WY
institution
Provider Business Practice Location Address Details
Address
1125 E 2Nd St
City
State
Zip
82601-2903
Phone Number
307-577-4225
Fax Number
307-577-4229
person
Provider Business Mailing Address Details
Address
1125 E 2Nd St
City
State
Zip
82601-2903
Phone Number
307-577-4225
Fax Number
307-577-4229
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
()
Definition
Definition to come...
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