Provider Demographics
NPI:1558975318
Name:AALONA, CLINT KAUMUALII (LMT)
Entity Type:Individual
Prefix:
First Name:CLINT
Middle Name:KAUMUALII
Last Name:AALONA
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2516 MTN VIEW AVE W
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:98466-3540
Mailing Address - Country:US
Mailing Address - Phone:253-348-9919
Mailing Address - Fax:
Practice Address - Street 1:6020 MAIN ST SW STE C
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-6506
Practice Address - Country:US
Practice Address - Phone:253-426-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-31
Last Update Date:2020-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA61046649225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist