Jonathan Jett Tate, PT Valid NPI

Individual provider · Physical Therapist · Longview, TX

NPI

1578896908

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

1191436 (TX)

Sex

Male

Sole proprietor

No

Enumerated

2009-09-17

Last updated

2021-02-11