# RENTON SPINE AND SPORTS MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** seattle spine and sports medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407324304
- **Authorized official:** KYLE OSBORNE (OWNER)
- **Authorized official phone:** (425) 773-9586

## Contact information

- **Practice address:** 1000 OAKESDALE AVE SW STE 100, RENTON, WA 98057-5202
- **Practice address phone:** (425) 800-9757
- **Mailing address:** 1000 OAKESDALE AVE SW STE 100, RENTON, WA 98057-5202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2018
- **Last updated:** 11/08/2018