Provider Demographics
NPI:1902489768
Name:BALANCE YOU PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:BALANCE YOU PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:MCCLAIN
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:252-227-0497
Mailing Address - Street 1:2120 E FIRE TOWER RD STE 107-1045
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-8013
Mailing Address - Country:US
Mailing Address - Phone:252-227-0497
Mailing Address - Fax:225-351-0321
Practice Address - Street 1:2120 E FIRE TOWER RD STE 107-1045
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-8013
Practice Address - Country:US
Practice Address - Phone:252-227-0497
Practice Address - Fax:225-351-0321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-29
Last Update Date:2021-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty