Provider Demographics
NPI:1659970796
Name:THAI SERENITY SPA LLC
Entity Type:Organization
Organization Name:THAI SERENITY SPA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER CEO
Authorized Official - Prefix:
Authorized Official - First Name:NATWADEE
Authorized Official - Middle Name:
Authorized Official - Last Name:RATTANASRIAMPIPONG
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:914-646-3519
Mailing Address - Street 1:49 GREENWICH AVE
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-5523
Mailing Address - Country:US
Mailing Address - Phone:682-628-9514
Mailing Address - Fax:
Practice Address - Street 1:49 GREENWICH AVE
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-5523
Practice Address - Country:US
Practice Address - Phone:682-628-9514
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty