MEDICARE: BODY BALANCE, LLC

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	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1598381634
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BODY BALANCE, LLC

Provider Business Mailing Address
First Line	:	PO BOX 270673
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80127-0011
Country	:	US
Telephone Number	:	720-288-2625
Fax Number	:

Provider Business Practice Location Address
First Line	:	10390 BRADFORD RD UNIT 202
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80127-6416
Country	:	US
Telephone Number	:	720-288-2625
Fax Number	:

Authorized Official
Title or Position	:	OFFICER
Name	:	TANYA HALDEN
Credential	:	ATC, CMT, MDNC
Telephone Number	:	720-252-7940

Provider Enumeration Date	:	06/24/2020
Last Update Date	:	02/18/2026

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Directions to “BODY BALANCE, LLC ” Practice Location

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