Individual
CALEB JOSHUA AULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2545 152ND AVE NE, REDMOND, WA 98052-5550
(425) 553-5322
Mailing address
13022 NE 98TH PL, KIRKLAND, WA 98033-5289
(425) 553-5322
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61291723
WA
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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