Provider Demographics
NPI:1467182642
Name:PARMELE MASSAGE AND FITNESS LLC
Entity Type:Organization
Organization Name:PARMELE MASSAGE AND FITNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PARMELE
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:480-815-4333
Mailing Address - Street 1:1313 W MESQUITE TREE LN
Mailing Address - Street 2:
Mailing Address - City:SAN TAN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85143-3510
Mailing Address - Country:US
Mailing Address - Phone:989-615-4971
Mailing Address - Fax:
Practice Address - Street 1:2373 E BASELINE RD STE 102
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-2477
Practice Address - Country:US
Practice Address - Phone:480-815-4333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-12
Last Update Date:2022-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty