COREY MICHAEL TATE LMT
NPI 1083345276
Massage Therapist in Phoenix, AZ

Active since June 20, 2022
4326 N 35TH AVE APT 1042, PHOENIX, AZ 85017(623) 418-4657 Get Directions Write a Review

NPPES record last updated: June 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Corey Michael Tate Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COREY MICHAEL TATE LMT (NPI 1083345276) is an individual massage therapist in Phoenix, Arizona, licensed in Arizona (28168) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1083345276
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameCOREY MICHAEL TATECredential: LMT
Location Address4326 N 35TH AVE APT 1042Phoenix, AZ 85017-3867
Mailing Address4326 N 35th Ave Apt 1042Phoenix, AZ 85017-3867 · (623) 418-4657
Sole ProprietorYes
Enumeration DateJune 20, 2022
NPPES CertifiedJune 20, 2022
NPI 1083345276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in AZ · 28168
Definition
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.
Also ListedMechanotherapistTaxonomy 172M00000X
4326 N 35TH AVE APT 1042, Phoenix, AZ 85017

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corey Tate's NPI number?

The NPI number for Corey Tate is 1083345276. It was assigned to this individual provider in the NPPES registry on June 20, 2022.

Where is Corey Tate located?

Corey Tate practices at 4326 N 35th Ave Apt 1042, Phoenix, AZ 85017. The listed phone number is (623) 418-4657.

What is Corey Tate's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Corey Tate was last updated on June 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.