Individual provider · Type 1 NPI

Kaela Renee Tyler

Dental Therapist · Lapush, WA

NPI number 1679449532 Active

Practice location

560 Quileute Heights
Lapush, WA 98331

Fax (360) 374-9049

Mailing address

PO Box 189
La Push, WA 98350-0189

Specialties and licenses

TaxonomyCodeLicense
Dental Therapist Primary 125J00000X25-0004-DHAT (WA)

Dental Therapist: A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therap…

About NPI 1679449532

Kaela Renee Tyler's National Provider Identifier is 1679449532, issued on Oct 16, 2025. The primary taxonomy on file is Dental Therapist (125J00000X), and the practice location is in Lapush, WA. The record was last updated on Oct 16, 2025.