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LIFESTYLE BALANCE HEALTHCARE
NPI 1972701688
Chiropractor in Mesa, AZ

Active since July 03, 2007
65 E 1ST AVE STE 101, MESA, AZ 85210(480) 962-4649(480) 962-8617 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lifestyle Balance Healthcare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFESTYLE BALANCE HEALTHCARE (NPI 1972701688) is a healthcare organization registered as a chiropractor in Mesa, Arizona and active in the NPI registry since July 2007. The organization lists Larry Ross Johnston, Acting Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1972701688
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLIFESTYLE BALANCE HEALTHCARE TRUST
Location Address65 E 1ST AVE STE 101Mesa, AZ 85210-1456
Mailing Address65 E 1st Ave Ste 101Mesa, AZ 85210-1456 · (480) 962-4649 · Fax (480) 962-8617
Phone(480) 962-4649
Fax(480) 962-8617
Organization SubpartNo
Authorized OfficialLarry Ross JohnstonActing Chief Executive Officer · (480) 962-4649
Enumeration DateJuly 3, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1972701688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
65 E 1ST AVE STE 101, Mesa, AZ 85210
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Other Names 1

Doing Business AsLifestyle Balance Healthcare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifestyle Balance Healthcare Trust's NPI number?

The NPI number for Lifestyle Balance Healthcare Trust is 1972701688. It was assigned to this organization in the NPPES registry on July 3, 2007. The provider is doing business as Lifestyle Balance Healthcare.

Where is Lifestyle Balance Healthcare Trust located?

Lifestyle Balance Healthcare Trust is located at 65 E 1st Ave Ste 101, Mesa, AZ 85210. The listed phone number is (480) 962-4649.

What is Lifestyle Balance Healthcare Trust's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Lifestyle Balance Healthcare Trust was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.