Healthcare Provider Details

I. General information

NPI: 1093962649
Provider Name (Legal Business Name): ABOUT YOU MASSAGES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2008
Last Update Date: 09/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6352 FLOR DE MAYO PL NW
ALBUQUERQUE NM
87120-2114
US

IV. Provider business mailing address

6352 FLOR DE MAYO PL NW
ALBUQUERQUE NM
87120-2114
US

V. Phone/Fax

Practice location:
  • Phone: 505-514-7110
  • Fax: 505-898-9748
Mailing address:
  • Phone: 505-514-7110
  • Fax: 505-898-9748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. ILDA DEBORD
Title or Position: OWNER/LMT
Credential: LMT
Phone: 505-514-7110