Individual
DMITRY NATIVIDAD MACHUTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1313 BROADWAY STE 200, TACOMA, WA 98402-3400
(253) 301-6400
Mailing address
9422 COUNTRY HOLLOW DR E, PUYALLUP, WA 98375-9668
(509) 699-0803
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60114564
WA
Other
Enumeration date
07/17/2013
Last updated
09/11/2025
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