BALANCED BODIES WELLNESS COBB NPI 1194622175

NPI Information

  • NPI: 1194622175
  • Provider Name: BALANCED BODIES WELLNESS COBB
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • :
  • Address: 3451 ERNEST W BARRETT PKWY NW STE 160
    MARIETTA, GA
    ZIP 30064
  • Phone: (678) 919-4845

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NPI Details

BALANCED BODIES WELLNESS COBB is a multi-specialty clinic center in Marietta, GA. BALANCED BODIES WELLNESS COBB NPI is 1194622175. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

3451 ERNEST W BARRETT PKWY NW STE 160
MARIETTA, GA
ZIP 30064-037
Phone: (678) 919-4845

The provider's authorized official is Jordan Bertram .
The authorized official title is Owner and has the following contact phone number (678) 983-8114.

The enumeration date for this NPI number is 10/22/2026 and was last updated on 10/22/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyYes
2261QM2500XClinic/CenterMedical SpecialtyNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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