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

Coast Spine and Sports Medicine PLLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1790401016

Coast Spine and Sports Medicine PLLC is a Physical Medicine & Rehabilitation Physician in Lacey, Washington. Registered with an NPI since 2022.

In the registry since
2022
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

8140 Freedom Ln NE Ste A
Lacey, WA 98516-4752
Phone: (253) 648-1853
Fax: (425) 800-9756
Show map & directions

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

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1790401016
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandy Clemens — Access Manager · (536) 481-8532
Other names Coast Injury Medicine
NPI enumeratedOctober 18, 2022
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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