Organization
YOURBODYWORKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES LATADY BS PT MT (OWNER/PROVIDER)
(650) 906-2256
Entity
Organization
Contact information
Practice address
2328 WILLIAMS ST, PALO ALTO, CA 94306-1420
(650) 906-2256
(650) 906-2256
Mailing address
2328 WILLIAMS ST, PALO ALTO, CA 94306-1420
(650) 906-2256
(650) 906-2256
Taxonomy
Speciality
Code
Description
License number
State
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
Primary
—
—
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
—
—
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
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