NPI 1063635647

Justin Tate, RRT

Practitioner General Care Registered Respiratory Therapist Saint Louis, MO

Practice location

Address: 11701 Borman Dr Suite 280, Saint Louis, MO 63146-4100
Phone: (314) 983-9555
Fax: (314) 983-9444
Mailing address: 2519 S 9th St APT a, Saint Louis, MO 63104-4710

Registered specialties

General Care Registered Respiratory Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2279G1100X Licence 2003017948 (MO)

Other Respiratory Therapist, Registered providers in Missouri →

Registry record

NPI: 1063635647
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.