Healthcare Provider Details

I. General information

NPI: 1003537812
Provider Name (Legal Business Name): BE BALANCED, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2022
Last Update Date: 12/14/2022
Certification Date: 12/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 MANCHESTER SQ STE 170
PORTSMOUTH NH
03801-8089
US

IV. Provider business mailing address

35 WALKER ST STE 200
KITTERY ME
03904-1727
US

V. Phone/Fax

Practice location:
  • Phone: 603-988-0953
  • Fax: 603-988-0954
Mailing address:
  • Phone: 207-351-3523
  • Fax: 207-351-3524

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: DR. CHRISTOPHER MICHAEL SARNO
Title or Position: OWNER
Credential: MD
Phone: 207-361-7197