Individual provider · Type 1 NPI
Kalena Anna Soares-Kakulu, LMT
Massage Therapist · Puyallup, WA
NPI number
1104286921
Active
Practice location
7503 144th St E
Puyallup, WA 98375-8269
Mailing address
8839 Daffodil Ln SE
Olympia, WA 98513-1767
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | M00022974 (WA) |
| Massage Therapist Primary | 225700000X | MA00022974 (WA) |
Massage Therapist: 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.
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About NPI 1104286921
Kalena Anna Soares-Kakulu, LMT's National Provider Identifier is 1104286921, issued on Mar 7, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Puyallup, WA. The record was last updated on Apr 2, 2021.