Serene Lake Massage Therapy
NPI #1114053790 in Lynnwood, Washington
Provider Information
- NPI Number
- 1114053790
- Entity Type
- Organization
- Organization Name
- Serene Lake Massage Therapy
- Primary Specialty
- Specialist
- Enumeration Date
- Feb 26, 2007
- Last Updated
- Jul 21, 2008
Practice Location
- Address
- 5521 186TH PL SW
- City
- Lynnwood
- State
- Washington
- ZIP Code
- 98037-4325
- Phone
- (425) 776-3000
Authorized Official
- Name
- MR. CHAD ERIC TRIPLETT, LMP
- Title
- PRESIDENT
- Phone
- (425) 776-3000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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| MRS. Jennifer Lynn Melle, LMP |
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