Healthcare Provider Details

I. General information

NPI: 1265287775
Provider Name (Legal Business Name): HIGHKEY BALANCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2024
Last Update Date: 04/18/2024
Certification Date: 04/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1140 19TH ST NW STE 520
WASHINGTON DC
20036-6609
US

IV. Provider business mailing address

1140 19TH ST NW STE 520
WASHINGTON DC
20036-6609
US

V. Phone/Fax

Practice location:
  • Phone: 202-558-6168
  • Fax:
Mailing address:
  • Phone: 202-558-6168
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SERKALEM ABDI
Title or Position: DIRECTOR
Credential:
Phone: 202-558-6168