Serene Lake Massage Therapy in Lynnwood - Specialist
Serene Lake Massage Therapy - NPI 1114053790
Serene Lake Massage Therapy is a Specialist in Lynnwood, Washington. Serene Lake Massage Therapy practices all healthcare services and medical treatments related to Specialist. The NPI Number for Serene Lake Massage Therapy is 1114053790. The last update date is 2008-07-21.
Serene Lake Massage Therapy's current location address is 5521 186th Pl Sw, Lynnwood, Washington. You can contact this provider via phone number 4257763000. The mailing address for Serene Lake Massage Therapy is 5521 186th Pl Sw, Lynnwood, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Serene Lake Massage Therapy |
|---|---|
| Address | 5521 186th Pl Sw, Lynnwood, Washington |
| Phone Number | 4257763000 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Triplett Eric Chad |
| Credentials | LMP |
| Telephone Number | 4257763000 |
NPI Number Detail
| NPI Number | 1114053790 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2008-07-21 |
Provider Mailing Address Detail
| Address | 5521 186th Pl Sw |
|---|---|
| City | Lynnwood |
| State | Washington (WA) |
| Post Code | 980374325 |
| Phone Number | 4257763000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MA000010193 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique 10-digit identifier code issued to Serene Lake Massage Therapy by the Centers for Medicare & Medicaid Services?
The Serene Lake Massage Therapy has been assigned the NPI (National Provider Identifier) 1114053790 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Serene Lake Massage Therapy located?
The Serene Lake Massage Therapy is located at 5521 186Th Pl Sw, Lynnwood, WA 980374325.
What is the Serene Lake Massage Therapy's area of specialization and corresponding taxonomy classification?
The Serene Lake Massage Therapy's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1114053790 to Serene Lake Massage Therapy?
The Centers for Medicare & Medicaid Services assigned the 1114053790 to Serene Lake Massage Therapy on 2007-02-26.
As of what date was the information regarding Serene Lake Massage Therapy, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Serene Lake Massage Therapy, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-07-21.