Jake Tastad
Counselor · Shakopee, MN
NPI number
1346088200
Practice location
100 Fuller St SShakopee, MN 55379-1348
- Phone
- (888) 953-4955
NPI record
- NPI
- 1346088200
- Entity type
- Individual (Type 1)
- Enumeration date
- July 16, 2024
- Last updated
- July 25, 2024
- Certified
- July 25, 2024
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X |
— | — |
Other practice locations (1)
- 9382 Oak Ave, Waconia, MN 55387-9422 · (855) 454-2463
About Jake Tastad
Jake Tastad is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 100 Fuller St S, Shakopee, MN 55379-1348. The NPI number 1346088200 was assigned on July 16, 2024 and the record was last updated on July 25, 2024.
Frequently asked questions
What is the NPI number of Jake Tastad?
The NPI number is 1346088200.
What is the phone number of Jake Tastad?
The phone number listed for the practice location is (888) 953-4955.
Where is Jake Tastad located?
100 Fuller St S, Shakopee, MN 55379-1348.
What is the taxonomy code for Jake Tastad?
The primary taxonomy code is 101Y00000X – Counselor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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