| NPI | 1023014859 |
|---|---|
| Doing Business As | BODY BALANCE FOR PERFORMANCE |
| Entity Type | Organization |
| Authorized Contact | DAVID JOHN WIEBER Owner 952-888-9549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2008-02-28 |