Individual provider Active NPI

Kayla Danford Deanda, LMT

  • Massage Therapist
  • Corpus Christi, TX
National Provider Identifier
1639763360
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
115577 Issued in TX
Practice address
6262 Weber Rd Ste 202
Corpus Christi, TX 78413-4006
Phone
(361) 934-0099
Fax
(361) 717-7021
NPI assigned
Feb 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 115577 TX Primary

Addresses

Primary practice location

6262 Weber Rd Ste 202
Corpus Christi, TX 78413-4006

Mailing address

6262 Weber Rd Ste 202
Corpus Christi, TX 78413-4006
Phone (361) 934-0099

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

LicenseStateTypeSpecialty
115577TXMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Well361 PLLC Massage Therapist CurrentSince Sep 21, 2025 Accepting new patients

Locations

6262 Weber Rd
Ste 202
Corpus Christi, TX 78413
Phone (361) 934-0099

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1639763360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6262 WEBER RD STE 202",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784134006",
            "telephone_number": "361-934-0099",
            "fax_number": "361-717-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6262 WEBER RD STE 202",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784134006",
            "telephone_number": "361-934-0099",
            "fax_number": "361-717-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANDA",
        "first_name": "KAYLA",
        "middle_name": "DANFORD",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "115577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.