| Brian D Ault, YT, LMT | |
|
42 E Main St, Smithtown, NY 11787-2804 | |
| (631) 406-6611 | |
| Not Available |
| Full Name | Brian D Ault |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 42 E Main St, Smithtown, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639493612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 022136 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brian D Ault, YT, LMT 42 E Main St, Smithtown, NY 11787-2804 Ph: () - | Brian D Ault, YT, LMT 42 E Main St, Smithtown, NY 11787-2804 Ph: (631) 406-6611 |
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