Healthcare Provider Details

I. General information

NPI: 1700651049
Provider Name (Legal Business Name): TATE CHIROPRACTIC & REHAB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2023
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

422 N MAIN ST STE 102
FALL RIVER MA
02720-2446
US

IV. Provider business mailing address

422 N MAIN ST STE 102
FALL RIVER MA
02720-2446
US

V. Phone/Fax

Practice location:
  • Phone: 508-322-8179
  • Fax:
Mailing address:
  • Phone: 774-757-1700
  • Fax: 774-227-6705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. SELWYN TYRONE TATE
Title or Position: CEO
Credential: DC
Phone: 508-322-8179