KENNETH B AULT

BONNEY LAKE, WA
NPI1700878402
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  MA00010271)
Enumeration Date2005-08-18
Last Update Date2007-07-08
Business Address
Mr. KENNETH B AULT LMP
8910 184TH AVE E
BONNEY LAKE, WA 98391-8531
Phone number: 253-863-7510
Mailing Address
Mr. KENNETH B AULT LMP
PO BOX 731269
PUYALLUP, WA 98373-0060
Phone number: 253-840-2313