Healthcare Provider Details

I. General information

NPI: 1346161007
Provider Name (Legal Business Name): RYAN AUL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5373 W CANAL DR KENNEWICK WA 99336 #110
KENNEWICK WA
99336-1332
US

IV. Provider business mailing address

804 W SYLVESTER ST UNIT 804.5
PASCO WA
99301-5228
US

V. Phone/Fax

Practice location:
  • Phone: 509-222-1112
  • Fax:
Mailing address:
  • Phone: 509-851-9279
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMASS.MA.70126344
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: