| Dancesport Studio LLC | |
|
4 Eves Dr Ste A114 Marlton NJ 08053-3103 | |
| (800) 817-3550 | |
| Not Available |
| Full Name | Dancesport Studio LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 4 Eves Dr Ste A114, Marlton, New Jersey |
| Authorized Official Name and Position | Michelle Blank (OWNER) |
| Authorized Official Contact | 8008173550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dancesport Studio LLC 4 Eves Dr Ste A114 Marlton NJ 08053-3103 Ph: (800) 817-3550 | Dancesport Studio LLC 4 Eves Dr Ste A114 Marlton NJ 08053-3103 Ph: (800) 817-3550 |
| NPI Number | 1144134628 |
|---|---|
| Provider Enumeration Date | 09/30/2026 |
| Last Update Date | 09/30/2026 |
| Certification Date | 09/30/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144134628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| 171400000X | Health & Wellness Coach | () | Secondary |
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