Individual
DUSTIN MARK MACOLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-2758
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-2758
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
037437
NY
225100000X
Physical Therapist
Primary
PT61300062
WA
Other
Enumeration date
03/19/2014
Last updated
05/18/2023
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