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

Coast Spine and Sports Medicine PLLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1114509460

Coast Spine and Sports Medicine PLLC is a Physical Medicine & Rehabilitation Physician in Puyallup, Washington. Works from 3 locations. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8012 112th Street Ct E Ste 120
Puyallup, WA 98373-7856
Phone: (253) 648-1853
Fax: (425) 800-9756
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 8140 Freedom Ln Ne Ste A, Lacey, WA 98516-4752 — (253) 648-1853
  • 1707 3rd St Se, Puyallup, WA 98372-4506 — (253) 648-1853

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1114509460
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandy Clemens — Access Manager · (253) 648-1853
Other names Coast Injury Medicine; Seattle Spine And Sports Medicine
NPI enumeratedApril 26, 2021
Last updated in NPPESJuly 5, 2024
Certification dateJuly 5, 2024
Mailing address8012 112th Street Ct E Ste 120, Puyallup, WA 98373-7856

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