Organization
SERENE LAKE MASSAGE THERAPY
Active
Other names
Serene Massage
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD ERIC TRIPLETT LMP (PRESIDENT)
(425) 776-3000
Entity
Organization
Contact information
Practice address
5521 186TH PL SW, LYNNWOOD, WA 98037-4325
(425) 776-3000
Mailing address
5521 186TH PL SW, LYNNWOOD, WA 98037-4325
(425) 776-3000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA000010193
WA
Other
Enumeration date
02/26/2007
Last updated
07/21/2008
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