Provider Demographics
NPI:1285121301
Name:ALL ABOUT MASSAGE, INC.
Entity type:Organization
Organization Name:ALL ABOUT MASSAGE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:YAMADA
Authorized Official - Suffix:
Authorized Official - Credentials:CMT
Authorized Official - Phone:760-346-7949
Mailing Address - Street 1:74125 HIGHWAY 111
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-4121
Mailing Address - Country:US
Mailing Address - Phone:760-346-7949
Mailing Address - Fax:760-346-7949
Practice Address - Street 1:74125 HIGHWAY 111
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-4121
Practice Address - Country:US
Practice Address - Phone:760-346-7949
Practice Address - Fax:760-346-7949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-13
Last Update Date:2018-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11332225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty