Mr Kenneth B Ault, LMP | |
8910 184th Ave E, Bonney Lake, WA 98391-8531 | |
(253) 863-7510 | |
(253) 863-5970 |
Full Name | Mr Kenneth B Ault |
---|---|
Gender | Male |
Speciality | Massage Therapist |
Location | 8910 184th Ave E, Bonney Lake, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700878402 | NPI | - | NPPES |
8929366 | Other | WA | CRIME VICTIMS |
5632AU | Other | WA | REGENCE BS |
146261 | Other | WA | DEPT OF L&I |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | MA00010271 (Washington) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Kenneth B Ault, LMP Po Box 731269, Puyallup, WA 98373-0060 Ph: (253) 840-2313 | Mr Kenneth B Ault, LMP 8910 184th Ave E, Bonney Lake, WA 98391-8531 Ph: (253) 863-7510 |
Kaeten Lee, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 19102 Hwy 410, Bonney Lake, WA 98391 Phone: 253-863-6378 | |
Mrs. Michellynn Inglin, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 18310 Hwy 410 E, Bonney Lake, WA 98391 Phone: 253-863-6377 Fax: 253-863-2052 | |
Mr. Michael Gibbons, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 19102 State Route 410 E Ste A, Bonney Lake, WA 98391 Phone: 253-863-6378 Fax: 253-863-6429 | |
Paula A Foster, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 19820 State Route 410 E, Suite 201, Bonney Lake, WA 98391 Phone: 253-863-7510 Fax: 253-863-5970 | |
Jayce Ellis, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 10202 199th Ave E, Bonney Lake, WA 98391 Phone: 907-612-0275 | |
Jeff Lee Sisco, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 21157 State Route 410, Bonney Lake, WA 98390 Phone: 253-862-8590 | |
Stephanie Ahern, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 22015 State Route 410 E, Bonney Lake, WA 98391 Phone: 253-891-9109 Fax: 253-826-0438 |