Kinetic Sports Rehab

LBN: Athlete'S Performance Center
Kinetic Sports Rehab is an health care organization with primary practice located at 701 N 36Th St Suite 430, Seattle WA 98103-8868. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Sports Physician. Chiropractic Providers / Sports Physician is the primary health care specialty. Athlete'S Performance Center can be contacted via phone (206) 547-0707, or through Bourbonnais, Michael D via phone (206) 547-0707.

Contact Information

Primary practice address
701 N 36Th St Suite 430 Seattle WA 98103-8868
Fax: (206) 420-5386
Website:
Authorized official contact:
Name: Bourbonnais, Michael D Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH00003244 Washington
Chiropractic Providers / Sports Physician 111NS0005X CH00034592

Profile Details

NPI number 1013200492
LBN Legal business name Athlete'S Performance Center
DBA Doing business as Kinetic Sports Rehab
Authorized official Bourbonnais, Michael D Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2011
Last updated May 18th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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