Provider Demographics
NPI:1730065632
Name:CIANTRO, OLIVIA NIEVES (DPT)
Entity type:Individual
Prefix:DR
First Name:OLIVIA
Middle Name:NIEVES
Last Name:CIANTRO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 DEXTER AVE N APT 306
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-7100
Mailing Address - Country:US
Mailing Address - Phone:347-843-9501
Mailing Address - Fax:
Practice Address - Street 1:2222 CALIFORNIA AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-2112
Practice Address - Country:US
Practice Address - Phone:206-693-9929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist