| NPI | 1033778451 |
|---|---|
| Doing Business As | BALANCED SPINE & WELLNESS, LLC |
| Entity Type | Organization |
| Authorized Contact | TELISHIA DEVERICKS Owner/Doctor 605-681-4173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2021-07-12 |