# YOURBODYWORKS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417184102
- **Authorized official:** CHARLES LATADY BS PT MT (OWNER/PROVIDER)
- **Authorized official phone:** (650) 906-2256

## Contact information

- **Practice address:** 2328 WILLIAMS ST, PALO ALTO, CA 94306-1420
- **Practice address phone:** (650) 906-2256
- **Practice address fax:** (650) 906-2256
- **Mailing address:** 2328 WILLIAMS ST, PALO ALTO, CA 94306-1420
- **Mailing address phone:** (650) 906-2256
- **Mailing address fax:** (650) 906-2256

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | DC26475 | CA | — |
| 111N00000X | Chiropractor | DC28108 | CA | — |
| 111NS0005X | Sports Physician Chiropractor | DC18956 | CA | — |
| 111NS0005X | Sports Physician Chiropractor | DC24240 | CA | — |
| 111NX0100X | Occupational Health Chiropractor | DC18667 | CA | — |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | NULL | Yes |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | — | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | A23308 | CA | — |
| 207RC0000X | Cardiovascular Disease Physician | A35335 | CA | — |
| 207RG0100X | Gastroenterology Physician | A45948 | CA | — |
| 207VG0400X | Gynecology Physician | A49312 | CA | — |
| 207VG0400X | Gynecology Physician | A67511 | CA | — |
| 207X00000X | Orthopaedic Surgery Physician | A72343 | CA | — |
| 2081N0008X | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081N0008X | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 2083X0100X | Occupational Medicine Physician | G21506 | CA | — |
| 209800000X | Legal Medicine (M.D./D.O.) Physician | G59606 | CA | — |

## Other

- **Enumeration date:** 06/19/2009
- **Last updated:** 09/02/2009