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MRS. KAYLA MARIE WEIDERSTROM LMT
NPI 1356821128
Massage Therapist in Snohomish, WA

Active since August 20, 2018
1101 AVENUE D STE C106, SNOHOMISH, WA 98290(360) 563-0209(360) 563-0243 Get Directions Write a Review

NPPES record last updated: January 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 9, 2020, Aug 20, 2018 (2 updates tracked since 2018).

About Mrs. Kayla Marie Weiderstrom Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KAYLA MARIE WEIDERSTROM LMT (NPI 1356821128) is an individual massage therapist in Snohomish, Washington, licensed in (MA60773869) and active in the NPI registry since August 2018. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1356821128
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMRS. KAYLA MARIE WEIDERSTROMCredential: LMT
Location Address1101 AVENUE D STE C106Snohomish, WA 98290-2083
Mailing Address6805 66th St NeMarysville, WA 98270-6595
Phone(360) 563-0209
Fax(360) 563-0243
Sole ProprietorYes
Enumeration DateAugust 20, 2018
Last NPPES UpdateJanuary 9, 20202 updates tracked since enumeration
✔ NPI 1356821128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed · MA60773869
Definition
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.
1101 AVENUE D STE C106, Snohomish, WA 98290
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Secondary Practice Locations 2

Location 110315 19th Ave SE Ste 106Everett, WA 98208-4268 · Phone (425) 338-5537
Location 21519 9th St Ste 103Marysville, WA 98270-4600 · Phone (425) 212-9129 · Fax (425) 212-9699

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MORGAN RAE DAVID LMT
Massage Therapist
1101 AVENUE D STE C106
SNOHOMISH, WA 98290
Snohomish County (360) 563-0209
BRITTENY DELANEY MA60581863
Massage Therapist
1101 AVENUE D STE C106
SNOHOMISH, WA 98290
Snohomish County (360) 563-0209

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kayla Weiderstrom's NPI number?

The NPI number for Kayla Weiderstrom is 1356821128. It was assigned to this individual provider in the NPPES registry on August 20, 2018.

Where is Kayla Weiderstrom located?

Kayla Weiderstrom practices at 1101 Avenue D Ste C106, Snohomish, WA 98290. The listed phone number is (360) 563-0209.

What is Kayla Weiderstrom's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Kayla Weiderstrom was last updated on January 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.