Kevin Vandenbosch

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

KEVIN VANDENBOSCH

Practice address

15916 93Rd Ave E
Puyallup, WA 98375-6718

Phone

(206) 519-0135

NPI assigned

Jul 15, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kevin Vandenbosch

Title

Let

Phone

(206) 519-0135

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1487546586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15916 93RD AVE E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983756718",
            "telephone_number": "206-519-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15916 93RD AVE E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983756718",
            "telephone_number": "206-519-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN VANDENBOSCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "VANDENBOSCH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "LET",
        "authorized_official_telephone_number": "206-519-0135"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.