Provider Demographics
NPI:1891363800
Name:REBALANCE WELLNESS SOLUTIONS, LLC
Entity type:Organization
Organization Name:REBALANCE WELLNESS SOLUTIONS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:DR
Authorized Official - First Name:MEALAD
Authorized Official - Middle Name:
Authorized Official - Last Name:TARIGHI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:972-571-6622
Mailing Address - Street 1:4571 DUVAL DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-2124
Mailing Address - Country:US
Mailing Address - Phone:692-005-7844
Mailing Address - Fax:
Practice Address - Street 1:4747 4TH ARMY DR STE 150
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-0155
Practice Address - Country:US
Practice Address - Phone:972-571-6622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-15
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy