Organization · Type 2 NPI

Athletes Performance Center PS

Sports Physician Chiropractor · Seattle, WA

NPI number 1013200492 Active

Practice location

4755 Fauntleroy Way SW Ste 120
Seattle, WA 98116-4669

Call (206) 946-1323 Map

Fax (206) 926-7908

Mailing address

7116 Woodlawn Ave NE
Seattle, WA 98115-5435

Other practice locations

7116 Woodlawn Ave NE, Seattle, WA 98115-5435 · (206) 522-6240

Specialties and licenses

Taxonomy	Code	License
Chiropractor	111N00000X	CH00003244 (WA)
Sports Physician Chiropractor Primary	111NS0005X	CH00034592

Sports Physician Chiropractor: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training …

2 other providers at this address

Other sports physician chiropractor providers in Seattle

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NPI record

NPI: 1013200492
Entity type: Organization (Type 2)
Issued: May 18, 2011
Last updated: Oct 21, 2025
Status: Active

Other names

<unavail>
Kinetic Sports Rehab · doing business as
Kinetic Sports Rehab · doing business as
Tangelo Manual Therapy & Movement · doing business as

Authorized official

Mr. Michael D Bourbonnais, DC
Owner
(206) 522-6240

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013200492

Athletes Performance Center PS's National Provider Identifier is 1013200492, issued on May 18, 2011. The primary taxonomy on file is Sports Physician Chiropractor (111NS0005X), and the practice location is in Seattle, WA. The record was last updated on Oct 21, 2025.