Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mind Your Body Clinic PLLC

Organization Specialist · NPI 1306005525

Mind Your Body Clinic PLLC provides Specialist services in Lakewood, Washington. Licensed in Washington. Registered with an NPI since 2008.

Licensed in
WA
In the registry since
2008
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3819 100th St SW Ste 7-C
Lakewood, WA 98499-4470 Not confirmed with CMS for 18 years — call before visiting
Phone: (253) 588-7911
Fax: (253) 984-6774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MD00047987 (WA)

Record details

NPI number1306005525
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rajninder Jutla — Provider/Owner · (253) 588-7911
NPI enumeratedJune 3, 2008
Last updated in NPPESJune 3, 2008
Mailing addressPo Box 97115, Lakewood, WA 98497-0115

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