# APEX KINETICS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Apex Kinetics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578147062
- **Authorized official:** KEVIN LEE VANDENBOSCH (BUSINESS MANAGER)
- **Authorized official phone:** (206) 519-0135

## Contact information

- **Practice address:** 819 PACIFIC AVE, TACOMA, WA 98402-5209
- **Practice address phone:** (253) 215-6100
- **Mailing address:** 15916 93RD AVE E, PUYALLUP, WA 98375-6718
- **Mailing address phone:** (120) 638-3318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133N00000X | Nutritionist | — | NULL | — |
| 133N00000X | Nutritionist | — | — | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 2251S0007X | Sports Physical Therapist | — | NULL | Yes |
| 2251S0007X | Sports Physical Therapist | — | — | Yes |
| 225700000X | Massage Therapist | — | NULL | — |
| 225700000X | Massage Therapist | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/10/2021
- **Last updated:** 08/08/2023
