Tate, Lisa Ann

Tate, Lisa Ann is an individual health care provider with primary practice located at 2312 S Dixon Rd Suite 250, Kokomo IN 46902-6401. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Tate, Lisa Ann can be contacted via phone (765) 455-2122.

Contact Information

Primary practice address
2312 S Dixon Rd Suite 250 Kokomo IN 46902-6401
Phone: (765) 455-2122
Fax: (765) 455-3122
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 36000648A Indiana

Profile Details

NPI number 1871841338
LBN Legal business name Tate, Lisa Ann
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2012
Last updated Aug 15th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers