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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