Provider Demographics
NPI:1043092877
Name:IT'S ALL ABOUT YOU CORPORATE CHAIR AND TABLE MASSAGE
Entity Type:Organization
Organization Name:IT'S ALL ABOUT YOU CORPORATE CHAIR AND TABLE MASSAGE
Other - Org Name:WANDAH KAY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WANDAH
Authorized Official - Middle Name:
Authorized Official - Last Name:KAY-JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:818-284-5444
Mailing Address - Street 1:PO BOX 91708
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90009-1708
Mailing Address - Country:US
Mailing Address - Phone:818-284-5444
Mailing Address - Fax:
Practice Address - Street 1:2955 COBB PKWY SE STE 301
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-3523
Practice Address - Country:US
Practice Address - Phone:562-294-1187
Practice Address - Fax:562-684-0621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-17
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty