Provider Demographics
NPI:1982415162
Name:CRUZ, EDUARDO FRANCISCO (LMT)
Entity type:Individual
Prefix:
First Name:EDUARDO
Middle Name:FRANCISCO
Last Name:CRUZ
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17514 151ST AVE SE UNIT 1-5
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98058-8783
Mailing Address - Country:US
Mailing Address - Phone:360-808-0046
Mailing Address - Fax:
Practice Address - Street 1:13106 SE 240TH ST STE 202
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98031-9211
Practice Address - Country:US
Practice Address - Phone:253-630-1332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist