Provider Demographics
NPI:1609584663
Name:ESTRADA RUTO, LILIANA ARIELA (ND,DHH, DNM,BCIP,)
Entity type:Individual
Prefix:DR
First Name:LILIANA
Middle Name:ARIELA
Last Name:ESTRADA RUTO
Suffix:
Gender:
Credentials:ND,DHH, DNM,BCIP,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4521
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98063-4521
Mailing Address - Country:US
Mailing Address - Phone:786-623-1640
Mailing Address - Fax:
Practice Address - Street 1:3949 N MAIN ST
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-4200
Practice Address - Country:US
Practice Address - Phone:786-623-1640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-09
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No172P00000XOther Service ProvidersNaprapathGroup - Multi-Specialty
No175F00000XOther Service ProvidersNaturopath
No374K00000XNursing Service Related ProvidersReligious Nonmedical PractitionerGroup - Multi-Specialty
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No171400000XOther Service ProvidersHealth & Wellness Coach
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No175L00000XOther Service ProvidersHomeopath
No175T00000XOther Service ProvidersPeer Specialist
No176P00000XOther Service ProvidersFuneral Director
No225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist
No251S00000XAgenciesCommunity/Behavioral Health