Kaitlin Marie Young, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA6887804 Issued in WA

Practice address

8909 Gravelly Lake Dr SW Ste B
Lakewood, WA 98499-3101

Phone

(253) 584-1144

Fax

(253) 588-5060

NPI assigned

Nov 30, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1801366059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8909 GRAVELLY LAKE DR SW STE B",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993101",
            "telephone_number": "253-584-1144",
            "fax_number": "253-588-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8909 GRAVELLY LAKE DR SW STE B",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993101",
            "telephone_number": "253-584-1144",
            "fax_number": "253-588-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KAITLIN",
        "middle_name": "MARIE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA6887804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Aliera Young
• Cheryl Nicole Young
• Cheryl Rena Young, M.A., LMHC
• Christa Rene Young, RN
• Corey Marsett Young, SC61292982
• Pinkos Young
• Ronda K. Young, BA
• Terri Ann Young
• Julie Ann Youngblood, MA, LMHC
• Lydia Youngman, LMP

• Massage Therapist in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; 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.