IndividualActive
Justin Tate, RRT
NPI 1063635647 · General Care Registered Respiratory Therapist · Saint Louis, MO
Provider details
- NPI number
- 1063635647
- Entity type
- Individual
- Primary specialty
- General Care Registered Respiratory TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- RRT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2003017948 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
11701 Borman Dr
Suite 280
Saint Louis, MO 63146-4100
Phone: (314) 983-9555
Fax: (314) 983-9444
Approximate (ZIP-level) locationGet directions
Mailing address
2519 S 9th St
Saint Louis, MO 63104-4710
Registry dates
- Enumerated
- 2007-04-11
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.