Serenity Therapy Center LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

10760 Issued in OR

Legal business name

SERENITY THERAPY CENTER LLC

Practice address

320 Central Ave
Suite 501
Coos Bay, OR 97420-2272

Phone

(541) 252-7169

NPI assigned

Jun 3, 2015

Last updated

Jun 3, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly Rene Gallagher, LMT

Title

Sole Member

Phone

(541) 252-7169

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1609256858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 CENTRAL AVE",
            "address_2": "SUITE 501",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202272",
            "telephone_number": "541-252-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 CENTRAL AVE",
            "address_2": "SUITE 501",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202272",
            "telephone_number": "541-252-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "541-252-7169",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "10760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Demitra Rhea Schmidt
• James Edward Schramm, PA-C
• Ashley Brooke Scott, RN
• Jennifer Lee Scott
• Sam Scott
• Ja'Quasha Shamir Sesler, DPT
• Sarah Shaikh Hussein
• Kent Douglas Sharman, MD
• Erica M Sharp
• Magdalene Clare Shaughnessy, PA-C

• Massage Therapist in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.