Individual
LEONARDO BENTIVOGLIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CEP
Contact information
Practice address
1536 N 115TH ST, SEATTLE, WA 98133
(206) 668-0111
Mailing address
1536 N 115TH ST, SEATTLE, WA 98133-8400
(206) 668-7553
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
WA
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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