JONATHAN JETT TATE

LONGVIEW, TX
NPI1578896908
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: TX  1191436)
Enumeration Date2009-09-17
Last Update Date2021-02-11
Business Address
JONATHAN JETT TATE PT
5804 JUDSON RD STE 201
LONGVIEW, TX 75605-1073
Phone number: 806-470-5904
Mailing Address
JONATHAN JETT TATE PT
107 CHINQUAPIN CT
HALLSVILLE, TX 75650-6224
Phone number: 806-470-5904