Serene Lake Massage Therapy
NPI #1619003316 in Lynnwood, Washington
Provider Information
- NPI Number
- 1619003316
- Entity Type
- Organization
- Organization Name
- Serene Lake Massage Therapy
- Primary Specialty
- Specialist
- Enumeration Date
- Feb 26, 2007
- Last Updated
- Jun 23, 2008
Practice Location
- Address
- 3501 SHELBY RD
- Address 2
- SUITE C
- City
- Lynnwood
- State
- Washington
- ZIP Code
- 98087-3599
- Phone
- (425) 745-9052
Authorized Official
- Name
- MR. CHAD ERIC TRIPLETT, LMP
- Title
- PRESIDENT
- Phone
- (425) 745-9052
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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| MS. Shannon Lynne Quenzer, LMP | |
| Melissa D Mamiya, SLP | |
| MR. Brandon Trent Broady, LMP | |
| Elizabeth Kehaulani Christian, LMP | |
| MRS. Jennifer Lynn Melle, LMP |
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