Jonathan Jett Tate, PT

NPI #1578896908 in Longview, Texas

Provider Information

NPI Number: 1578896908
Entity Type: Individual
Name: Jonathan Jett Tate, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Sep 17, 2009
Last Updated: Feb 11, 2021

Practice Location

Address: 5804 JUDSON RD STE 201
City: Longview
State: Texas
ZIP Code: 75605-1073
Phone: (806) 470-5904

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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