Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Kelly Mark Buchanan, LMT

Individual provider Specialist · NPI 1083761423

Mr. Kelly Mark Buchanan, LMT is a Specialist in Federal Way, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2007
Specialties on file
2
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

500 S 336th St
Federal Way, WA 98003-6389
Phone: (253) 312-2217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MA00015776 (WA)
Massage Therapist Taxonomy 225700000X · Licence MA00015776 (WA)

Record details

NPI number1083761423
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedJanuary 5, 2007
Last updated in NPPESJuly 22, 2021
Certification dateJuly 22, 2021

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