Miss Serenity C Ackley, LMT
Massage Therapist in Lake Oswego, Oregon
1396177895- Practice location
- 15110 Boones Ferry RD, Suite 100C, Lake Oswego, OR 97035-3468
- Phone
- 503-422-9497
- Fax
- —
- Last updated
- August 7, 2013
Miss Serenity C Ackley, LMT is a Massage Therapist based in Lake Oswego, OR. Miss Serenity C Ackley, LMT holds the professional credentials of LMT. The NPI number for Miss Serenity C Ackley, LMT is 1396177895 and holds license No. 19933 (OR). The current practice location address is 15110 Boones Ferry RD, Suite 100C, Lake Oswego, OR 97035-3468 and the office can be reached by phone at 503-422-9497. The NPI was assigned on August 7, 2013 and the record was last updated in NPPES on August 7, 2013.
●Provider Profile Details
- NPI Number
- 1396177895
- Provider Name
- Serenity Celestia Ackley
- Credential
- LMT
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Massage Therapist · 225700000X
- Sole Proprietor
- Yes
- Enumeration Date
- August 7, 2013
- Last Update Date
- August 7, 2013
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 15110 Boones Ferry RD
Suite 100C
Lake Oswego, OR 97035-3468 - City
- Lake Oswego
- State
- Oregon
- ZIP
- 97035-3468
- Country
- US
- Phone Number
- 503-422-9497
✉Business Mailing Address
- Address
- 210 SW Edgeway Dr
Apt J 186
Beaverton, OR 97006-3978 - City
- Beaverton
- State
- OR
- ZIP
- 97006-3978
- Phone Number
- 503-422-9497
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Yes | 19933 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
☉Other providers near Lake Oswego, OR
View all providers in Lake Oswego →?Frequently Asked Questions
What is the NPI number of Miss Serenity C Ackley, LMT?
The NPI number of Miss Serenity C Ackley, LMT is 1396177895. It was assigned on August 7, 2013 and is currently active in the NPPES registry.
What is the specialty of Miss Serenity C Ackley, LMT?
Miss Serenity C Ackley, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X) and holds license No. 19933 (OR).
Where does Miss Serenity C Ackley, LMT practice?
The practice location is 15110 Boones Ferry RD, Suite 100C, Lake Oswego, OR 97035-3468. The office can be reached at 503-422-9497 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396177895 directly on the NPPES registry website at npiregistry.cms.hhs.gov.