Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811026131 Individual Practitioner Female Practitioner

Kellye S Vaughn , LMP

Massage Therapist • Mukilteo, WA

Professional Overview & Biography Verified Profile Summary

Kellye Vaughn, LMP is a registered healthcare professional specializing in Massage Therapist in Mukilteo, WA. Practice services are available at 4430 76TH ST SW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4430 76th St Sw

Mukilteo, WA 982752745

Telephone 4254184207
Fax 4252659484

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Mukilteo, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.3 Yrs
Regional Practice Density
37 Specialists

Practicing in Mukilteo, WA (13385 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License WA MA00011883

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 4430 76TH ST SW, MUKILTEO, WA 982752745 (Tel: 4254184207)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 52, MUKILTEO, WA 982750052 (Tel: 4254184207)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KELLYE VAUGHN, LMP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Massage Therapist (License #MA00011883 in WA)

🟢
Initial NPI Registration & Enumeration March 04, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811026131
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 04, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

Po Box 52

Mukilteo, WA 982750052

Phone: 4254184207

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.