Healthcare Provider Details

I. General information

NPI: 1609201524
Provider Name (Legal Business Name): BALANCED HOME THERAPY SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2013
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6030 PLUM DR
WILLIAMSBURG MI
49690-9425
US

IV. Provider business mailing address

6030 PLUM DR
WILLIAMSBURG MI
49690-9425
US

V. Phone/Fax

Practice location:
  • Phone: 231-883-9822
  • Fax: 231-264-0268
Mailing address:
  • Phone: 231-883-9822
  • Fax: 231-264-0268

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number5201006276
License Number StateMI

VIII. Authorized Official

Name: KARA KOEPLIN
Title or Position: OWNER
Credential: O.T.
Phone: 231-883-9822