Individual provider · Type 1 NPI

Glenn F. Tate, LMP

Massage Therapist · Kenmore, WA

NPI number 1033413083 Active

Practice location

17620 80th Ave NE, APT# 302
Kenmore, WA 98028-6602

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60172753 (WA)

Massage Therapist: 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.

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About NPI 1033413083

Glenn F. Tate, LMP's National Provider Identifier is 1033413083, issued on Jan 5, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Kenmore, WA. The record was last updated on Jan 5, 2011.