| Nw Sports Rehab, Corp. | |
|
33400 13th Pl S, Federal Way, WA 98003-6357 | |
| (253) 838-6070 | |
| Not Available |
| Full Name | Nw Sports Rehab, Corp. |
|---|---|
| Type | Facility |
| Speciality | Acupuncturist |
| Location | 33400 13th Pl S, Federal Way, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679698518 | NPI | - | NPPES |
| DD7854 | Other | WA | GROUP RAILROAD MEDICARE |
| 158881 | Other | WA | GROUP L & I |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (Washington) | Secondary |
| 225700000X | Massage Therapist | (Washington) | Secondary |
| 171100000X | Acupuncturist | (Washington) | Primary |
| Provider Name | Ming Ming A.y. Su Brown |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1407876964 PECOS PAC ID: 7911898051 Enrollment ID: I20070627000167 |
| Provider Name | Joseph R Kula |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1750686846 PECOS PAC ID: 0840471801 Enrollment ID: I20110223000958 |
| Provider Name | Christopher A Gibson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1285929760 PECOS PAC ID: 0446420913 Enrollment ID: I20110819000582 |
| Provider Name | James T Kurtz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1477576213 PECOS PAC ID: 2860659505 Enrollment ID: I20120207000716 |
| Provider Name | Anita Leblanc |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1861762395 PECOS PAC ID: 8921226200 Enrollment ID: I20140828000410 |
| Provider Name | Anthony Aamodt |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1669850798 PECOS PAC ID: 1052622628 Enrollment ID: I20150623002741 |
| Provider Name | Sue Bedair |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1497170047 PECOS PAC ID: 7113233214 Enrollment ID: I20150903003005 |
| Provider Name | Adrian Rene Rimm |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922508332 PECOS PAC ID: 2163785015 Enrollment ID: I20191108002465 |
| Provider Name | Endeah Lea Chandler-hardesty |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1730725490 PECOS PAC ID: 3173957230 Enrollment ID: I20191223001812 |
| Provider Name | Justin Byrd |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1962091009 PECOS PAC ID: 8325452113 Enrollment ID: I20210208001386 |
| Provider Name | Samantha Ann Hendricks |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1437812021 PECOS PAC ID: 6204224868 Enrollment ID: I20211101001386 |
| Provider Name | Lauren Elizabeth Crowe |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1811764806 PECOS PAC ID: 5092167387 Enrollment ID: I20240123001911 |
| Provider Name | Chungtso Lin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1134931488 PECOS PAC ID: 4789113119 Enrollment ID: I20250129002555 |
| Mailing Address | Practice Location Address |
|---|---|
| Nw Sports Rehab, Corp. 33400 13th Pl S, Federal Way, WA 98003-6357 Ph: (253) 838-6070 | Nw Sports Rehab, Corp. 33400 13th Pl S, Federal Way, WA 98003-6357 Ph: (253) 838-6070 |