Provider Demographics
NPI:1225516735
Name:O'TOOL, TATE
Entity Type:Individual
Prefix:
First Name:TATE
Middle Name:
Last Name:O'TOOL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 UNIVERSITY ST
Mailing Address - Street 2:
Mailing Address - City:PELLA
Mailing Address - State:IA
Mailing Address - Zip Code:50219-1902
Mailing Address - Country:US
Mailing Address - Phone:877-462-3687
Mailing Address - Fax:
Practice Address - Street 1:1923 N 16TH ST
Practice Address - Street 2:
Practice Address - City:FORT DODGE
Practice Address - State:IA
Practice Address - Zip Code:50501-7624
Practice Address - Country:US
Practice Address - Phone:515-269-3373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-06
Last Update Date:2018-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program