RAINIER ATHLETIC CLUB NPI 1700691805

NPI Information

  • NPI: 1700691805
  • Provider Name: RAINIER ATHLETIC CLUB
  • Classification: Physical Medicine & Rehabilitation - 2081S0010X
  • Specialization: Sports Medicine
  • Entity Type: Organization
  • Address: 819 PACIFIC AVE
    TACOMA, WA
    ZIP 98402
  • Phone: (206) 519-0135

Map and Directions

Get Directions

NPI Details

RAINIER ATHLETIC CLUB is a sports medicine physical medicine rehabilitation in Tacoma, WA. The provider is a physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. RAINIER ATHLETIC CLUB NPI is 1700691805. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

819 PACIFIC AVE
TACOMA, WA
ZIP 98402-209
Phone: (206) 519-0135

The provider's authorized official is Kevin Vandenbosch .
The authorized official title is Manager and has the following contact phone number (206) 519-0135.

The enumeration date for this NPI number is 2/7/2025 and was last updated on 2/7/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorNo
2133N00000XNutritionistNo
32081S0010XPhysical Medicine & RehabilitationSports MedicineYes
4225100000XPhysical TherapistNo
5225700000XMassage TherapistNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.