Provider Demographics
NPI:1104570423
Name:BALANCED CREATIONS PHYSICAL THERAPY, PLLC
Entity type:Organization
Organization Name:BALANCED CREATIONS PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SIGOURNEY
Authorized Official - Middle Name:DOWNS
Authorized Official - Last Name:WEATHERS
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:214-500-0126
Mailing Address - Street 1:2222 BURGUNDY DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-4324
Mailing Address - Country:US
Mailing Address - Phone:214-500-0126
Mailing Address - Fax:972-440-2059
Practice Address - Street 1:205 MIKUS RD
Practice Address - Street 2:
Practice Address - City:HUDSON OAKS
Practice Address - State:TX
Practice Address - Zip Code:76087-7989
Practice Address - Country:US
Practice Address - Phone:214-500-0126
Practice Address - Fax:817-290-3876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-06
Last Update Date:2024-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty