Active NPI
Kyle Dailey
- Massage Therapist
- Mukilteo, WA
National Provider Identifier
1568869436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60154469
- Practice address
- 11811 Mukilteo Speedway Ste 200
Mukilteo, WA 98275-5442 - Phone
- (425) 381-3866
- Fax
- (425) 263-9869
- NPI assigned
- Nov 20, 2014
- 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 | MA60154469 | WA | Primary |
Addresses
Primary practice location
11811 Mukilteo Speedway Ste 200
Mukilteo, WA 98275-5442
Mailing address
11811 Mukilteo Speedway Ste 200
Mukilteo, WA 98275-5442
Phone (425) 381-3866
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 |
|---|---|---|---|
| MA60154469 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416441600000",
"number": "1568869436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11811 MUKILTEO SPEEDWAY STE 200",
"city": "MUKILTEO",
"state": "WA",
"postal_code": "982755442",
"telephone_number": "425-381-3866",
"fax_number": "425-263-9869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11811 MUKILTEO SPEEDWAY STE 200",
"city": "MUKILTEO",
"state": "WA",
"postal_code": "982755442",
"telephone_number": "425-381-3866",
"fax_number": "425-263-9869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAILEY",
"first_name": "KYLE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-11-20",
"last_updated": "2014-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60154469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mukilteo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.