COREY MICHAEL TATE

PHOENIX, AZ
NPI1083345276
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: AZ  28168)
Additional Taxonomies172M00000X Mechanotherapist
Enumeration Date2022-06-20
Last Update Date2022-06-20
Business Address
COREY MICHAEL TATE lmt
4326 N 35TH AVE APT 1042
PHOENIX, AZ 85017-3867
Phone number: 623-418-4657
Mailing Address
COREY MICHAEL TATE lmt
4326 N 35TH AVE APT 1042
PHOENIX, AZ 85017-3867
Phone number: 623-418-4657
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