Take Ten Bodyworks

Specialty details in registry · Lilliwaup, WA

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At a glance

130 N Lake Surf Dr, Lilliwaup, WA 98555-9786

NPPES record updated Aug 5, 2015. Public records can lag behind changes at a practice.

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Practice location

130 N Lake Surf Dr
Lilliwaup, WA 98555-9786
Professional details: NPI, taxonomy & registry record
NPI1730565318
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
172M00000X
Enumeration date
Aug 5, 2015
Record updated
Aug 5, 2015
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

172M00000X · Primary

License reported: MA00019372 WA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

130 N Lake Surf Dr
Lilliwaup, WA 98555-9786
Phone
(206) 683-5565
Mailing address
130 N LAKE SURF DR

LILLIWAUP, WA 985559786
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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