Kenneth B Ault in Bonney Lake - Massage Therapist
Kenneth B Ault - NPI 1700878402
Kenneth B Ault is a Massage Therapist in Bonney Lake, Washington. Kenneth B Ault practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Kenneth B Ault is 1700878402. The last update date is 2007-07-08.
Kenneth B Ault's current location address is 8910 184th Ave E, Bonney Lake, Washington. You can contact this provider via phone number 2538637510 and fax number 2538635970. The mailing address for Kenneth B Ault is 8910 184th Ave E, Bonney Lake, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth B Ault |
|---|---|
| Address | 8910 184th Ave E, Bonney Lake, Washington |
| Phone Number | 2538637510 |
| Fax Number | 2538635970 |
| Sole Proprietor | X |
| Credentials | LMP |
NPI Number Detail
| NPI Number | 1700878402 |
|---|---|
| Provider Enumeration Date | 2005-08-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8910 184th Ave E |
|---|---|
| City | Bonney Lake |
| State | Washington (WA) |
| Post Code | 983918531 |
| Phone Number | 2538637510 |
| Fax Number | 2538635970 |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | MA00010271 |
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Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8929366 | WA | CRIME VICTIMS | |
| 5632AU | WA | REGENCE BS | |
| 146261 | WA | DEPT OF L&I |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kenneth B Ault by the Centers for Medicare & Medicaid Services?
The Kenneth B Ault has been issued the NPI (National Provider Identifier) 1700878402 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Kenneth B Ault located?
The Kenneth B Ault is located at 8910 184Th Ave E, Bonney Lake, WA 983918531.
What is Kenneth B Ault's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenneth B Ault's area of specialization is Massage Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225700000X.
When did the Kenneth B Ault receive its 1700878402?
The Kenneth B Ault was issued its 1700878402 on 2005-08-18, which is the date when the organization was assigned this unique identifier.
When was the Kenneth B Ault's information last updated?
The Kenneth B Ault's information was last updated on 2007-07-08.