Provider Demographics
NPI:1801402839
Name:ALL BODIES MASSAGE, LLC
Entity Type:Organization
Organization Name:ALL BODIES MASSAGE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELICA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:VALDES
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:352-509-6679
Mailing Address - Street 1:13426 SW 63RD TER
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34473-6886
Mailing Address - Country:US
Mailing Address - Phone:352-653-8538
Mailing Address - Fax:855-515-4078
Practice Address - Street 1:2300 SE 17TH ST STE 101
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-9112
Practice Address - Country:US
Practice Address - Phone:352-509-6679
Practice Address - Fax:855-515-4078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-16
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty