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 is a Massage Therapist 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

Other providers in Puyallup