Active NPI
Kyle Craig, LMT
- Massage Therapist
- Federal Way, WA
National Provider Identifier
1306594965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA61106603
- Practice address
- 34730 Pacific Hwy S
Federal Way, WA 98003-6821 - Phone
- (253) 927-0660
- NPI assigned
- Mar 14, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA61106603 | WA | Primary |
Addresses
Primary practice location
34730 Pacific Hwy S
Federal Way, WA 98003-6821
Mailing address
34019 1St Cir S Apt a
Federal Way, WA 98003-4403
Phone (714) 837-7377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA61106603 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647216000000",
"number": "1306594965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34019 1ST CIR S APT A",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980034403",
"telephone_number": "714-837-7377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34730 PACIFIC HWY S",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036821",
"telephone_number": "253-927-0660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIG",
"first_name": "KYLE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-14",
"last_updated": "2022-03-14",
"certification_date": "2022-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA61106603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.