Healthcare Provider Details

I. General information

NPI: 1467256339
Provider Name (Legal Business Name): MCKAILA MANUS ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2025
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 ENCINITAS BLVD STE 111
ENCINITAS CA
92024-3742
US

IV. Provider business mailing address

4467 DAWES ST APT 2C
SAN DIEGO CA
92109-4115
US

V. Phone/Fax

Practice location:
  • Phone: 505-716-6366
  • Fax:
Mailing address:
  • Phone: 505-716-6366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: