Healthcare Provider Details

I. General information

NPI: 1164347316
Provider Name (Legal Business Name): DIEGO BENJAMIN GARCIA DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2909 S 12TH ST
TACOMA WA
98405-2540
US

IV. Provider business mailing address

1224 ELDORADO AVE
FIRCREST WA
98466-6717
US

V. Phone/Fax

Practice location:
  • Phone: 253-316-8097
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT.70135552
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: