Provider Demographics
NPI:1417133943
Name:TONAL BALANCE HEALTH CENTER, LLC
Entity type:Organization
Organization Name:TONAL BALANCE HEALTH CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTHELS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:612-724-7100
Mailing Address - Street 1:3940 MINNEHAHA AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55406-3232
Mailing Address - Country:US
Mailing Address - Phone:612-724-7100
Mailing Address - Fax:612-724-7101
Practice Address - Street 1:3940 MINNEHAHA AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55406-3232
Practice Address - Country:US
Practice Address - Phone:612-724-7100
Practice Address - Fax:612-724-7101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-15
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4643261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center