COREY MICHAEL TATE LMT NPI 1083345276

NPI Information

NPI: 1083345276
Provider Name: COREY MICHAEL TATE, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
4326 N 35TH AVE APT 1042
PHOENIX, AZ
ZIP 85017
Phone: (623) 418-4657
Get Directions

Corey Michael Tate, LMT is a massage therapist in Phoenix, AZ. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Corey Michael Tate, LMT NPI is 1083345276. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4326 N 35TH AVE APT 1042
PHOENIX, AZ
ZIP 85017-867
Phone: (623) 418-4657

The enumeration date for this NPI number is 6/20/2022 and was last updated on 6/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	172M00000X	Mechanotherapist				No
2	225700000X	Massage Therapist		28168	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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