# NW SPORTS REHAB, CORP.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NW Sports Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679698518
- **Authorized official:** DR. MING MING AUDREY SU-BROWN DC, LAC (OWNER)
- **Authorized official phone:** (253) 838-6070

## Contact information

- **Practice address:** 33400 13TH PL S, FEDERAL WAY, WA 98003-6357
- **Practice address phone:** (253) 838-6070
- **Mailing address:** 33400 13TH PL S, FEDERAL WAY, WA 98003-6357
- **Mailing address phone:** (253) 838-6070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | WA | — |
| 171100000X | Acupuncturist | — | WA | Yes |
| 225700000X | Massage Therapist | — | WA | — |

## Other

- **Enumeration date:** 03/20/2007
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 158881 | GROUP L & I | WA |
| 01 | — | DD7854 | GROUP RAILROAD MEDICARE | WA |