Provider Demographics
NPI:1457766552
Name:GOOD FOR YOU MASSAGE & DAY SPA, LLC
Entity Type:Organization
Organization Name:GOOD FOR YOU MASSAGE & DAY SPA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:L
Authorized Official - Last Name:PILICHOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-874-2498
Mailing Address - Street 1:202 SOUTH 348TH STREET
Mailing Address - Street 2:4
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003
Mailing Address - Country:US
Mailing Address - Phone:253-874-2498
Mailing Address - Fax:253-248-1909
Practice Address - Street 1:202 SOUTH 348TH STREET
Practice Address - Street 2:4
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003
Practice Address - Country:US
Practice Address - Phone:253-874-2498
Practice Address - Fax:253-248-1909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-26
Last Update Date:2015-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization