Healthcare Provider Details

I. General information

NPI: 1407778707
Provider Name (Legal Business Name): SOUND SPORTS PERFORMANCE AND REHAB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1423 10TH AVE STE D
SEATTLE WA
98122-3889
US

IV. Provider business mailing address

732 11TH AVE E APT 101
SEATTLE WA
98102-4654
US

V. Phone/Fax

Practice location:
  • Phone: 564-234-0213
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. MARK BELANGER
Title or Position: OWNER
Credential: DC
Phone: 330-283-2153