Individual provider · Type 1 NPI
Terrell Sean Tate, BOCP, CO
Prosthetics Case Management · Memphis, TN
NPI number
1164929543
Active
Practice location
1661 International Drive, Suite 400
Memphis, TN 38120-1431
Mailing address
1661 International Place Dr Ste 400
Memphis, TN 38120-1431
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetics Case Management Primary | 1744P3200X | PRO130 (TN) |
Prosthetics Case Management: A case manager who provides services for patients with prosthetics.
2 other providers at this address
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- Lakesha Polk, HAIR LOSS SPECIALISTProsthetics Case Management Memphis, TN NPI 1336767375
- Roshotta Beane, HAIR LOSS SPECIALISTProsthetics Case Management Memphis, TN NPI 1558800623
- Stephania JonesProsthetics Case Management Memphis, TN NPI 1588108252
- Tania N. Combs-Starks, CERTIFIED HAIR LOSSProsthetics Case Management Memphis, TN NPI 1609343862
About NPI 1164929543
Terrell Sean Tate, BOCP, CO's National Provider Identifier is 1164929543, issued on Apr 11, 2018. The primary taxonomy on file is Prosthetics Case Management (1744P3200X), and the practice location is in Memphis, TN. The record was last updated on May 28, 2021.