Individual provider · Type 1 NPI

Kellye S. Vaughn, LMP

Massage Therapist · Mukilteo, WA

NPI number 1811026131 Active

Practice location

4430 76th St SW
Mukilteo, WA 98275-2745

Call (425) 418-4207 Map

Fax (425) 265-9484

Mailing address

PO Box 52
Mukilteo, WA 98275-0052

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00011883 (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 1811026131

Kellye S. Vaughn, LMP's National Provider Identifier is 1811026131, issued on Mar 4, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Mukilteo, WA. The record was last updated on Jul 8, 2007.