OrganizationActive
Athletes Performance Center Ps
NPI 1013200492 · Sports Physician Chiropractor · Seattle, WA
Provider details
- NPI number
- 1013200492
- Entity type
- Organization
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Michael Bourbonnais, Owner(206) 522-6240
- License
- CH00003244 (WA)
Specialties & taxonomies
Chiropractic Providers
Chiropractic Providers
Practice location
4755 Fauntleroy Way Sw Ste 120
Seattle, WA 98116-4669
Phone: (206) 946-1323
Fax: (206) 926-7908
Approximate (ZIP-level) locationGet directions
Mailing address
7116 Woodlawn Ave Ne
Seattle, WA 98115-5435
Other names (DBA / former)
- Doing business as
- Kinetic Sports Rehab
- Doing business as
- Kinetic Sports Rehab
- Doing business as
- Tangelo Manual Therapy & Movement
Additional practice locations (1)
- 7116 Woodlawn Ave NeSeattle, WA 98115-5435Phone: (206) 522-6240Fax: (206) 926-7899
Registry dates
- Enumerated
- 2011-05-18
- Last updated
- 2025-10-21
- Certified
- 2025-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.