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Organization
SERENITY THERAPY CENTER LLC
Active
Organization
SERENITY THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY RENE GALLAGHER LMT (SOLE MEMBER)
(541) 252-7169
Entity
Organization
Contact information
Practice address
320 CENTRAL AVE, SUITE 501, COOS BAY, OR 97420-2272
(541) 252-7169
Mailing address
320 CENTRAL AVE, SUITE 501, COOS BAY, OR 97420-2272
(541) 252-7169
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10760
OR
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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