Ault, Kenneth B

Ault, Kenneth B is an individual health care provider with primary practice located at 8910 184Th Ave E , Bonney Lake WA 98391-8531. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Ault, Kenneth B can be contacted via phone (253) 863-7510.

Contact Information

Primary practice address
8910 184Th Ave E Bonney Lake WA 98391-8531
Phone: (253) 863-7510
Fax: (253) 863-5970
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA00010271 Washington

Profile Details

NPI number 1700878402
LBN Legal business name Ault, Kenneth B
Credentials LMP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700878402 NPPES
Washington Other 8929366 CRIME VICTIMS
Washington Other 5632AU CRIME VICTIMS
Washington Other 146261 CRIME VICTIMS

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