Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northwest Sports Performance

Organization Massage Therapist · NPI 1134894652

Northwest Sports Performance provides Massage Therapist services in Puyallup, Washington. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

15916 93rd Ave E
Puyallup, WA 98375-6718
Phone: (206) 383-3186
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X

Record details

NPI number1134894652
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Vandenbosch — Lmt · (206) 383-3186
NPI enumeratedAugust 16, 2021
Last updated in NPPESAugust 16, 2021
Certification dateAugust 16, 2021
Mailing address15916 93rd Ave E, Puyallup, WA 98375-6718

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