Serene Lake Massage Therapy in Lynnwood - Specialist
Serene Lake Massage Therapy - NPI 1619003316
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 1619003316. The last update date is 2008-06-23.
Serene Lake Massage Therapy's current location address is 3501 Shelby Rd, Lynnwood, Washington. You can contact this provider via phone number 4257459052 and fax number 4257453372. The mailing address for Serene Lake Massage Therapy is 3501 Shelby Rd, Lynnwood, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Serene Lake Massage Therapy |
|---|---|
| Address | 3501 Shelby Rd, Lynnwood, Washington |
| Phone Number | 4257459052 |
| Fax Number | 4257453372 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Triplett Eric Chad |
| Credentials | LMP |
| Telephone Number | 4257459052 |
NPI Number Detail
| NPI Number | 1619003316 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2008-06-23 |
Provider Mailing Address Detail
| Address | 3501 Shelby Rd |
|---|---|
| City | Lynnwood |
| State | Washington (WA) |
| Post Code | 980873599 |
| Phone Number | 4257459052 |
| Fax Number | 4257453372 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MAOOO10193 |
|
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 identification code assigned to Serene Lake Massage Therapy by the Centers for Medicare & Medicaid Services?
The Serene Lake Massage Therapy has been issued the NPI (National Provider Identifier) 1619003316, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Serene Lake Massage Therapy?
The Serene Lake Massage Therapy is physically situated at 3501 Shelby Rd, in the city of Lynnwood, state of WA, with the postal code 980873599.
What is the Serene Lake Massage Therapy's specialty and taxonomy code?
The Serene Lake Massage Therapy's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Serene Lake Massage Therapy receive the assignment of its 1619003316 from the Centers for Medicare & Medicaid Services?
The Serene Lake Massage Therapy was issued its 1619003316 by the Centers for Medicare & Medicaid Services on 2007-02-26.
When was the information pertaining to Serene Lake Massage Therapy most recently updated or revised?
The details related to Serene Lake Massage Therapy, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-23.