Individual
KATHERINE ELENA TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
274 4TH AVE, 2ND FLOOR, BROOKLYN, NY 11215-1819
(516) 500-3655
Mailing address
187 16TH ST APT 3R, BROOKLYN, NY 11215-5419
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
020941
NY
Other
Enumeration date
09/07/2015
Last updated
09/07/2015
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