Organization
SERENE LAKE MASSAGE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD ERIC TRIPLETT LMP (PRESIDENT)
(425) 745-9052
Entity
Organization
Contact information
Practice address
3501 SHELBY RD, SUITE C, LYNNWOOD, WA 98087-3599
(425) 745-9052
(425) 745-3372
Mailing address
3501 SHELBY RD, SUITE C, LYNNWOOD, WA 98087-3599
(425) 745-9052
(425) 745-3372
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MAOOO10193
WA
Other
Enumeration date
02/26/2007
Last updated
06/23/2008
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