Healthcare Provider Details

I. General information

NPI: 1164331286
Provider Name (Legal Business Name): TATE VAN BEEK
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

244 N MINDEN AVE
MINDEN NE
68959-1643
US

IV. Provider business mailing address

244 N MINDEN AVE
MINDEN NE
68959-1643
US

V. Phone/Fax

Practice location:
  • Phone: 308-832-1500
  • Fax: 308-832-1551
Mailing address:
  • Phone: 308-832-1500
  • Fax: 308-832-1551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5029
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: