Organization
SERENITY MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY SHANKS LMP, XT (OWNER)
(360) 322-8549
Entity
Organization
Contact information
Practice address
7104 265TH ST NW, SUITE 115, STANWOOD, WA 98292-6250
(360) 572-3709
(360) 841-7169
Mailing address
7104 265TH ST NW, SUITE 115, STANWOOD, WA 98292-6250
(360) 572-3709
(360) 841-7169
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60672868
WA
Other
Enumeration date
12/20/2016
Last updated
12/20/2016
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