Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS KELLEY NICOLE TATE, P.T.
ActiveMISS KELLEY NICOLE TATE, P.T. is a Physical Therapy Assistant healthcare provider located in BOONVILLE, Missouri. NPI 1003811258 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BOONVILLE, MO
Registration Details
- NPI Number
- 1003811258
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 15, 2005 (21.123464106148 yrs)
- Last Updated
- Feb 20, 2025
- License
-
2002025550 (MO)
Practice Information
- Address
-
1420 W ASHLEY RDBOONVILLE, MO, 652332112Browse MO providers · Browse ZIP 65233
- Phone
- 6608826115
- Fax
- 6608826120
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in BOONVILLE, MO
| Name | Credential | NPI |
|---|---|---|
| MRS. JENNIFER JO HACKMAN | P.T. ,A.T.C. | 1891790291 |
| TIMOTHY R TRACY | D.P.T | 1598045536 |
| ELYSSA ANN GIBBONS | DPT | 1447923313 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.