MISS KELLEY TATE, P.T.
Physical Therapist
Active
Individual
NPI: 1003811258
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 2002025550 (MO) |
Frequently Asked Questions
NPI 1003811258 is the National Provider Identifier for MISS KELLEY TATE, P.T., a Physical Therapist provider located in Boonville, MO. This NPI was enumerated on June 15, 2005.
MISS KELLEY TATE, P.T. practices at 1420 W ASHLEY RD, Boonville, MO 65233.
Quick Facts
- NPI
- 1003811258
- Type
- Individual
- Enumerated
- Jun 15, 2005
- Last Updated
- Feb 20, 2025
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