Provider Demographics
NPI:1215364203
Name:ALL ABOUT ME LLC
Entity Type:Organization
Organization Name:ALL ABOUT ME LLC
Other - Org Name:MASSAGE ENVY SPA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:OLSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-921-5685
Mailing Address - Street 1:2726 E GREYSTONE CT
Mailing Address - Street 2:
Mailing Address - City:EAGLE
Mailing Address - State:ID
Mailing Address - Zip Code:83616-6806
Mailing Address - Country:US
Mailing Address - Phone:208-921-5685
Mailing Address - Fax:
Practice Address - Street 1:1142 N MULDOON RD
Practice Address - Street 2:SUITE 135
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99504-6101
Practice Address - Country:US
Practice Address - Phone:907-331-3800
Practice Address - Fax:907-331-3689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-04
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty