Healthcare Provider Details

I. General information

NPI: 1558701433
Provider Name (Legal Business Name): BALANCING ACT PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2013
Last Update Date: 06/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11518 E APACHE TRL 116
APACHE JUNCTION AZ
85120-3551
US

IV. Provider business mailing address

737 E HONDO AVE
APACHE JUNCTION AZ
85119-3200
US

V. Phone/Fax

Practice location:
  • Phone: 480-380-4242
  • Fax: 480-380-4240
Mailing address:
  • Phone: 480-983-1845
  • Fax: 480-380-4240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MRS. KAREN M FRONTERA
Title or Position: OWNER
Credential:
Phone: 480-380-4242