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Contact Information

MICHELLE DIVITO, PT
1423 E MAIN
PUYALLUP, WA98372-3138
 Phone: 253-697-2340
 Fax: 253-697-2346
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Physical Therapy

261QP2000X
Indicates primary specialty

NPI Profile & details for MICHELLE DIVITO · (Female)

NPI # 1134882699
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 10/20/2021
Last updated 12/05/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • WA License # PT61433593
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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