Provider Demographics
NPI:1801515291
Name:MARKING, KAILA
Entity type:Individual
Prefix:
First Name:KAILA
Middle Name:
Last Name:MARKING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KAILA
Other - Middle Name:
Other - Last Name:LASHELLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3701 EMMA LN
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98903-9558
Mailing Address - Country:US
Mailing Address - Phone:509-833-6478
Mailing Address - Fax:
Practice Address - Street 1:2802 W NOB HILL BLVD STE B
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-4982
Practice Address - Country:US
Practice Address - Phone:509-833-6478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-26
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA61267619225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist