MEDICARE: BALANCED BEING INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	MA 00014338	WA

General Provider Information

NPI Number	:	1174983761
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BALANCED BEING INC

Provider Business Mailing Address
First Line	:	221 KENYON ST NW STE 103
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98502-4581
Country	:	US
Telephone Number	:	360-705-1133
Fax Number	:	360-352-5855

Provider Business Practice Location Address
First Line	:	221 KENYON ST NW STE 103
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98502-4581
Country	:	US
Telephone Number	:	360-705-1133
Fax Number	:	360-352-5855

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KIMBERLY J NEDROW
Credential	:	LMP, BCTMB, CST-D
Telephone Number	:	360-705-1133

Provider Enumeration Date	:	02/25/2016
Last Update Date	:	02/02/2024

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Directions to “BALANCED BEING INC ” Practice Location

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