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

Olympic Sports and Spine Rehabilitation Ps

Organization Physical Therapist · NPI 1558310375

Olympic Sports and Spine Rehabilitation Ps is a Physical Therapist in Puyallup, Washington. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4

Practice location Address checks out

8011 112th Street Ct E
Puyallup, WA 98373-7814
Phone: (253) 848-0662
Fax: (253) 848-8567
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Massage Therapist Taxonomy 225700000X
Occupational Therapist Taxonomy 225X00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1558310375
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vern Essenberg — Chief Operations Officer · (253) 581-5200
NPI enumeratedMay 9, 2006
Last updated in NPPESFebruary 3, 2016
Mailing address9315 Gravelly Lake Dr Sw, Suite 306, Lakewood, WA 98499-1574

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