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MOD SKIN AND BODY CLINIC
NPI 1801227327
Specialist in Kirkland, WA

Active since December 09, 2013
14130 JUANITA DR NE STE 110, KIRKLAND, WA 98034(425) 406-8455 Get Directions Write a Review

NPPES record last updated: January 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mod Skin And Body Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOD SKIN AND BODY CLINIC (NPI 1801227327) is a healthcare organization registered as a specialist in Kirkland, Washington and active in the NPI registry since December 2013. The organization lists Polly Tabares, Ceo, as its authorized official.

NPPES Registry Identity

NPI1801227327
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMOD SKIN AND BODY CLINIC
Location Address14130 JUANITA DR NE STE 110Kirkland, WA 98034-0127
Mailing Address14130 Juanita Dr Ne Ste 110Kirkland, WA 98034-0127 · (425) 406-8455
Phone(425) 406-8455
Organization SubpartNo
Authorized OfficialPolly TabaresCeo · (425) 406-8455
Enumeration DateDecember 9, 2013
Last NPPES UpdateJanuary 10, 2014
✔ NPI 1801227327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
14130 JUANITA DR NE STE 110, Kirkland, WA 98034
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mod Skin And Body Clinic's NPI number?

The NPI number for Mod Skin And Body Clinic is 1801227327. It was assigned to this organization in the NPPES registry on December 9, 2013.

Where is Mod Skin And Body Clinic located?

Mod Skin And Body Clinic is located at 14130 Juanita Dr NE Ste 110, Kirkland, WA 98034. The listed phone number is (425) 406-8455.

What is Mod Skin And Body Clinic's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mod Skin And Body Clinic was last updated on January 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.