Provider Demographics
NPI:1407011299
Name:ALL ABOUT U HEALTH AND WELLNESS SPA
Entity Type:Organization
Organization Name:ALL ABOUT U HEALTH AND WELLNESS SPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:VELICKOFF
Authorized Official - Suffix:
Authorized Official - Credentials:DC, LMT
Authorized Official - Phone:360-903-6825
Mailing Address - Street 1:5631 TACOMA MALL BLVD STE 4
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98409-6901
Mailing Address - Country:US
Mailing Address - Phone:253-682-0220
Mailing Address - Fax:253-682-0223
Practice Address - Street 1:5631 TACOMA MALL BLVD STE 4
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409-6901
Practice Address - Country:US
Practice Address - Phone:253-682-0220
Practice Address - Fax:253-682-0223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-22
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA12251172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172M00000XOther Service ProvidersMechanotherapistGroup - Single Specialty