Keila Marie Stafford, MA61656832
Individual provider Active NPI Massage Therapist · La Conner, WA
NPI 1235939265 · NPPES record last updated Mar 18, 2025
Key facts
- NPI
- 1235939265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA61656832 (WA)
- Practice address
- 112 Morris St
Suite C
La Conner, WA 98257-7015 - Phone
- (360) 333-2586
- NPI assigned
- Mar 18, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA61656832 | WA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA61656832 | WA | Yes |
Addresses
Primary practice location
112 Morris St
Suite C
La Conner, WA 98257-7015
Mailing address
2775 State Route 9
Sedro Woolley, WA 98284-7626
Phone (360) 333-2586
Other practice location 1
2775 State Route 9
Sedro Woolley, WA 98284-7626
Phone (360) 333-2586
Other providers in La Conner, WA
- Season Silk
- Skagit County Fire District 13
- Michelle L Skidmore
- Soas L.L.C.
- Soas LLC
- Lisa M Starinchak
- Sarah Blair Stensrud
- Sharon A Sullivan
- Swinomish Health Clinic
- Swinomish Health Clinic
All providers in La Conner, WA · Massage Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.