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

Northwest Sports Performance

Organization Nutritionist · NPI 1356024228

Northwest Sports Performance is a Nutritionist in Tacoma, Washington. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
5
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Practice location Address checks out

819 Pacific Ave
Tacoma, WA 98402-5209
Phone: (253) 215-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Physical Therapist (primary) Taxonomy 2251S0007X
Nutritionist Taxonomy 133N00000X
Sports Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081S0010X
Massage Therapist Taxonomy 225700000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1356024228
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Vandenbosch — Manager · (206) 519-0135
NPI enumeratedAugust 8, 2023
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023
Mailing address15916 93rd Ave E, Puyallup, WA 98375-6718

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