MEDICARE: GOLDEN VALLEY SERENITY SPA, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1245185479
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDEN VALLEY SERENITY SPA, LLC

Provider Business Mailing Address
First Line	:	116 W JEFFERSON ST
Second Line	:
City	:	CLINTON
State	:	MO
Zip	:	64735-2061
Country	:	US
Telephone Number	:	660-885-3885
Fax Number	:

Provider Business Practice Location Address
First Line	:	116 W JEFFERSON ST
Second Line	:
City	:	CLINTON
State	:	MO
Zip	:	64735-2061
Country	:	US
Telephone Number	:	660-885-3885
Fax Number	:

Authorized Official
Title or Position	:	MASSAGE THERAPY
Name	:	JANE HARRISON
Credential	:
Telephone Number	:	660-885-3885

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

Similar Medicare Providers

1063408169 — DR. LISA K PARKS OD
Practice Location Address:

106 W JEFFERSON ST
CLINTON, MO
64735-2061

Practice Phone: 660-885-2800
Practice Fax: 660-885-5353

1417191305 — PARKS OPTICAL INC
Practice Location Address:

106 W JEFFERSON ST
CLINTON, MO
64735-2061

Practice Phone: 660-885-2800
Practice Fax: 660-885-5353

1275539322 — DR. ROBERT J SEXAUER D.D.S.
Practice Location Address:

2000 N GAINES DR , STE A
CLINTON, MO
64735-1132

Practice Phone: 660-885-6933
Practice Fax: 660-885-6935

1043203201 — TWIN LAKES HOSPICE INC.
Practice Location Address:

725 E OHIO ST
CLINTON, MO
64735

Practice Phone: 660-890-2014
Practice Fax: 660-890-2018

1639164734 — MARK D LASSWELL CRNA
Practice Location Address:

1600 N 2ND ST
CLINTON, MO
64735-1297

Practice Phone: 660-885-5511
Practice Fax:

1003801747 — KARL J. HAAKE MD
Practice Location Address:

1600 N 2ND ST
CLINTON, MO
64735-1192

Practice Phone: 913-261-9081
Practice Fax: 913-261-9081

Directions to “GOLDEN VALLEY SERENITY SPA, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.