Northwest Sports Performance

LBN: Northwest Sports Performance
Northwest Sports Performance is an health care organization with primary practice located at 819 Pacific Ave , Tacoma WA 98402-5209. The organization recently has 5 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Allopathic & Osteopathic Physicians / Sports Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports is the primary health care specialty. Northwest Sports Performance can be contacted via phone (253) 215-6100, or through Vandenbosch, Kevin Lee via phone (206) 519-0135.

Contact Information

Primary practice address
819 Pacific Ave Tacoma WA 98402-5209
Phone: (253) 215-6100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vandenbosch, Kevin Lee
Phone: (206) 519-0135

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1356024228
LBN Legal business name Northwest Sports Performance
DBA Doing business as
Authorized official Vandenbosch, Kevin Lee
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2023
Last updated Aug 8th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356024228 NPPES
Other 1770083826 PHYSICAL THERAPIST NPI

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