John Lee Tate in Boonville - Physical Therapy Assistant

John Lee Tate - NPI 1477672814

John Lee Tate is a Physical Therapy Assistant in Boonville, Missouri. John Lee Tate practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for John Lee Tate is 1477672814. The last update date is 2007-07-08.

John Lee Tate's current location address is 1420 W Ashley Rd, Boonville, Missouri. You can contact this provider via phone number 6608826115. The mailing address for John Lee Tate is 1420 W Ashley Rd, Boonville, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name John Lee Tate
Address 1420 W Ashley Rd, Boonville, Missouri
Phone Number 6608826115
Fax Number
Sole Proprietor N
Credentials PTA

NPI Number Detail

NPI Number 1477672814
Provider Enumeration Date 2007-03-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1420 W Ashley Rd
City Boonville
State Missouri (MO)
Post Code 652332112
Phone Number 6608826115
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No 2000163896
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

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FAQs about John Lee Tate

What is the John Lee Tate's 1477672814?

The John Lee Tate's NPI (National Provider Identifier) Number is 1477672814. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where John Lee Tate's facilities are situated?

The facilities of John Lee Tate are physically located at the following address: 1420 W Ashley Rd, Boonville, MO, 652332112.

What is John Lee Tate's specialized field of practice, and what is the corresponding taxonomy classification code?

The John Lee Tate's area of specialization is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this field of practice is 225200000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1477672814 to John Lee Tate?

The John Lee Tate received its 1477672814 assignment from the Centers for Medicare & Medicaid Services on 2007-03-28.

As of what date were the John Lee Tate's details last updated?

The information pertaining to the John Lee Tate, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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