Individual
CODY ANDREW BENAVIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1901 S 72ND ST, TACOMA, WA 98408-1200
(253) 475-4870
Mailing address
11216 MADERA CIR SW, LAKEWOOD, WA 98499-1497
(216) 789-4801
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/23/2019
Last updated
06/23/2019
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