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Organization
NW SPORTS REHAB, CORP.
Active
Organization
NW SPORTS REHAB, CORP.
Active
Other names
NW Sports Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MING MING AUDREY SU-BROWN DC, LAC (OWNER)
(253) 838-6070
Entity
Organization
Contact information
Practice address
33400 13TH PL S, FEDERAL WAY, WA 98003-6357
(253) 838-6070
Mailing address
33400 13TH PL S, FEDERAL WAY, WA 98003-6357
(253) 838-6070
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
WA
171100000X
Acupuncturist
Primary
—
WA
225700000X
Massage Therapist
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
158881
GROUP L & I
WA
01
—
DD7854
GROUP RAILROAD MEDICARE
WA
Enumeration date
03/20/2007
Last updated
09/11/2025
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