Provider Demographics
NPI:1093962649
Name:ABOUT YOU MASSAGES, LLC
Entity Type:Organization
Organization Name:ABOUT YOU MASSAGES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LMT
Authorized Official - Prefix:MS
Authorized Official - First Name:ILDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEBORD
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:505-514-7110
Mailing Address - Street 1:6352 FLOR DE MAYO PL NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-2114
Mailing Address - Country:US
Mailing Address - Phone:505-514-7110
Mailing Address - Fax:505-898-9748
Practice Address - Street 1:6352 FLOR DE MAYO PL NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87120-2114
Practice Address - Country:US
Practice Address - Phone:505-514-7110
Practice Address - Fax:505-898-9748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-26
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM00RE78OtherBXBX