Individual
DEVIN JAMES TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1131 E NORTH AVE, BELTON, MO 64012-5105
(816) 535-5101
Mailing address
1131 E NORTH AVE, BELTON, MO 64012-5105
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2022029409
MO
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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