OrganizationActive
Northwest Sports Performance
NPI 1356024228 · Sports Physical Therapist · Tacoma, WA
Provider details
- NPI number
- 1356024228
- Entity type
- Organization
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Kevin Vandenbosch, Manager(206) 519-0135
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Nutritionist133N00000X
Dietary & Nutritional Service Providers
Allopathic & Osteopathic Physicians
- Massage Therapist225700000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
819 Pacific Ave
Tacoma, WA 98402-5209
Phone: (253) 215-6100
Approximate (ZIP-level) locationGet directions
Mailing address
15916 93rd Ave E
Puyallup, WA 98375-6718
Registry dates
- Enumerated
- 2023-08-08
- Last updated
- 2023-08-08
- Certified
- 2023-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.