MR. Glenn F Tate, LMP
NPI #1033413083 in Kenmore, Washington
Provider Information
- NPI Number
- 1033413083
- Entity Type
- Individual
- Name
- MR. Glenn F Tate, LMP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMP
- Enumeration Date
- Jan 5, 2011
- Last Updated
- Jan 5, 2011
Practice Location
- Address
- 17620 80TH AVE NE
- Address 2
- APT# 302
- City
- Kenmore
- State
- Washington
- ZIP Code
- 98028-6602
- Phone
- (425) 949-2617
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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