OrganizationActive
Balanced Vitality LLC
NPI 1306574520 · Health Service Clinic/Center · Casper, WY
Provider details
- NPI number
- 1306574520
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Debbie Porter, Office Manager(307) 577-4225
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1125 E 2nd St
Casper, WY 82601-2903
Phone: (307) 577-4225
Fax: (307) 577-4229
Approximate (ZIP-level) locationGet directions
Mailing address
1125 E 2nd St
Casper, WY 82601-2903
Registry dates
- Enumerated
- 2022-08-15
- Last updated
- 2022-08-15
- Certified
- 2022-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.