IndividualActive
David Tate
NPI 1821465394 · Vehicle Modifications Contractor · Thibodaux, LA
Provider details
- NPI number
- 1821465394
- Entity type
- Individual
- Primary specialty
- Vehicle Modifications ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
200 Cedar Tree Dr
Thibodaux, LA 70301-5724
Phone: (985) 438-7770
Approximate (ZIP-level) locationGet directions
Mailing address
200 Cedar Tree Dr
Thibodaux, LA 70301-5724
Registry dates
- Enumerated
- 2015-08-31
- Last updated
- 2015-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.