KALENA ANNA SOARES-KAKULU LMT NPI 1104286921

NPI Information

NPI: 1104286921
Provider Name: KALENA ANNA SOARES-KAKULU, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
7503 144TH ST E
PUYALLUP, WA
ZIP 98375
Phone: (360) 970-6309
Get Directions

Kalena Anna Soares-kakulu, LMT is a massage therapist in Puyallup, WA. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Kalena Anna Soares-kakulu, LMT NPI is 1104286921. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7503 144TH ST E
PUYALLUP, WA
ZIP 98375-269
Phone: (360) 970-6309

The enumeration date for this NPI number is 3/7/2016 and was last updated on 4/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		M00022974	WASHINGTON	No
2	225700000X	Massage Therapist		MA00022974	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1104286921	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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