Healthcare Provider Details

I. General information

NPI: 1023959228
Provider Name (Legal Business Name): NORTH STAR BALANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15083 FLAGSTAFF AVE STE A
APPLE VALLEY MN
55124-4534
US

IV. Provider business mailing address

15083 FLAGSTAFF AVE STE A
APPLE VALLEY MN
55124-4534
US

V. Phone/Fax

Practice location:
  • Phone: 612-246-6900
  • Fax: 855-975-2550
Mailing address:
  • Phone: 612-246-6900
  • Fax: 855-975-2550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MATT HYNES
Title or Position: OWNER
Credential:
Phone: 612-246-6900