Provider Demographics
NPI:1518279744
Name:KESTER, AARON E (LMP)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:E
Last Name:KESTER
Suffix:
Gender:M
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1529 N PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98406-8107
Mailing Address - Country:US
Mailing Address - Phone:253-282-5298
Mailing Address - Fax:
Practice Address - Street 1:1529 N PROSPECT ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98406-8107
Practice Address - Country:US
Practice Address - Phone:253-282-5298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-02
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60112128172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist