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NPI Code Detail

MEDICARE: ANDREW BALAZS PT

MEDICARE: ANDREW BALAZS PT
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
1225100000XPhysical TherapistCP027807TTX
2225100000XPhysical Therapist10735LA
3225100000XPhysical TherapistCP022580TGA

General Provider Information

NPI Number : 1528675113
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW BALAZS PT
Provider Business Mailing Address
First Line : 1200 CORPORATE DR STE 400
Second Line :
City : HOOVER
State : AL
Zip : 35242-5424
Country : US
Telephone Number : 423-702-4389
Fax Number :
Provider Business Practice Location Address
First Line : 2312 DAVID DR STE C
Second Line :
City : METAIRIE
State : LA
Zip : 70003-4504
Country : US
Telephone Number : 504-435-1158
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2020
Last Update Date : 12/11/2025

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