Active NPI
Shayla R Waldorf, LMT
- Massage Therapist
- Wichita, KS
National Provider Identifier
1881581858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0000
- Practice address
- 411 N Woodlawn St
Wichita, KS 67208-4335 - Phone
- (316) 204-7583
- NPI assigned
- Jun 21, 2025
- Sex
- Female
- 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 | 0000 | KS | Primary |
Addresses
Primary practice location
411 N Woodlawn St
Wichita, KS 67208-4335
Mailing address
PO Box 163
Towanda, KS 67144-0163
Phone (316) 204-7583
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 |
|---|---|---|---|
| 0000 | KS | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750464000000",
"number": "1881581858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 163",
"city": "TOWANDA",
"state": "KS",
"postal_code": "671440163",
"telephone_number": "316-204-7583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 N WOODLAWN ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672084335",
"telephone_number": "316-204-7583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDORF",
"first_name": "SHAYLA",
"middle_name": "R",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-21",
"last_updated": "2025-06-21",
"certification_date": "2025-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "KS",
"license": "0000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.