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Individual
MR. KENNETH B AULT
Active
Individual
MR. KENNETH B AULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00010271
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146261
DEPT OF L&I
WA
01
—
5632AU
REGENCE BS
WA
01
—
8929366
CRIME VICTIMS
WA
Enumeration date
08/18/2005
Last updated
07/13/2026
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