Organization
TAKE TEN BODYWORKS
Active
Organization
TAKE TEN BODYWORKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS A VAUGHAN LMP/LMT (OWNER)
(206) 683-5565
Entity
Organization
Contact information
Practice address
130 N LAKE SURF DR, LILLIWAUP, WA 98555-9786
(206) 683-5565
Mailing address
130 N LAKE SURF DR, LILLIWAUP, WA 98555-9786
(206) 683-5565
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA00019372
WA
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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