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

Mod Skin and Body Clinic

Organization Specialist · NPI 1801227327

Mod Skin and Body Clinic provides Specialist services in Kirkland, Washington. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

14130 Juanita Dr NE Ste 110
Kirkland, WA 98034-0127 Not confirmed with CMS for 12 years — call before visiting
Phone: (425) 406-8455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1801227327
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Polly Tabares — Ceo · (425) 406-8455
NPI enumeratedDecember 9, 2013
Last updated in NPPESJanuary 10, 2014
Mailing address14130 Juanita Dr Ne Ste 110, Kirkland, WA 98034-0127

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