IndividualActive
Bridget Tate, PTA
NPI 1730071879 · Physical Therapy Assistant · Roseville, MN
Provider details
- NPI number
- 1730071879
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- A494 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2945 Lincoln Dr
Roseville, MN 55113-1338
Phone: (651) 628-3620
Approximate (ZIP-level) locationGet directions
Mailing address
2845 Hamline Ave N
Roseville, MN 55113-7127
Registry dates
- Enumerated
- 2025-07-15
- Last updated
- 2025-07-15
- Certified
- 2025-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.