Healthcare Provider Details

I. General information

NPI: 1356252233
Provider Name (Legal Business Name): KYLIAH RICHARDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2405 W WASHINGTON AVE STE 140
YAKIMA WA
98903-2518
US

IV. Provider business mailing address

3207 FOLSOM AVE APT 2
YAKIMA WA
98902-2299
US

V. Phone/Fax

Practice location:
  • Phone: 509-902-1222
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMASS.MA.61659651
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: