Individual provider · Type 1 NPI

Corey Michael Tate, LMT

Massage Therapist · Phoenix, AZ

NPI number 1083345276 Active

Practice location

4326 N 35th Ave Apt 1042
Phoenix, AZ 85017-3867

Call (623) 418-4657 Map

Specialties and licenses

TaxonomyCodeLicense
Mechanotherapist 172M00000XNone listed
Massage Therapist Primary 225700000X28168 (AZ)

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 1083345276

Corey Michael Tate, LMT's National Provider Identifier is 1083345276, issued on Jun 20, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 20, 2022.