Provider Demographics
NPI:1346082997
Name:PLYUTA, DMYTRO
Entity type:Individual
Prefix:MR
First Name:DMYTRO
Middle Name:
Last Name:PLYUTA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 S 9TH ST APT 1005
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55402-3133
Mailing Address - Country:US
Mailing Address - Phone:206-579-8895
Mailing Address - Fax:
Practice Address - Street 1:36 S 9TH ST APT 1005
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55402-3133
Practice Address - Country:US
Practice Address - Phone:206-579-8895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach