Individual
JATHZEEL AMADEO OLIVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
417 W YELM AVE, YELM, WA 98597
(360) 458-2444
(360) 458-2747
Mailing address
100 DENNIS ST SW STE B, TUMWATER, WA 98501-6523
(360) 338-0181
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/06/2025
Last updated
08/13/2025
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