Northwest Sports Performance
NPI #1134894652 in Puyallup, Washington
Provider Information
- NPI Number
- 1134894652
- Entity Type
- Organization
- Organization Name
- Northwest Sports Performance
- Primary Specialty
- Massage Therapist
- Enumeration Date
- Aug 16, 2021
- Last Updated
- Aug 16, 2021
Practice Location
- Address
- 15916 93RD AVE E
- City
- Puyallup
- State
- Washington
- ZIP Code
- 98375-6718
- Phone
- (206) 383-3186
Authorized Official
- Name
- KEVIN VANDENBOSCH, LMT
- Title
- LMT
- Phone
- (206) 383-3186
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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