Organization
ATHLETES PERFORMANCE CENTER PS
Active
Other names
Tangelo Manual Therapy & Movement, Kinetic Sports Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL D BOURBONNAIS D.C. (OWNER)
(206) 522-6240
Entity
Organization
Contact information
Practice address
4755 FAUNTLEROY WAY SW STE 120, SEATTLE, WA 98116-4669
(206) 946-1323
(206) 926-7908
Mailing address
7116 WOODLAWN AVE NE, SEATTLE, WA 98115-5435
(206) 522-6240
(206) 926-7899
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH00003244
WA
111NS0005X
Sports Physician Chiropractor
Primary
CH00034592
—
Other
Enumeration date
05/18/2011
Last updated
10/21/2025
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