# JT HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JT Health Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871259879
- **Authorized official:** TAMMIE D REGGIO PA (PRIMARY PROVIDER)
- **Authorized official phone:** (580) 789-1628

## Contact information

- **Practice address:** 105 E. GRAND, TONKAWA, OK 74653-3503
- **Practice address phone:** (580) 789-1628
- **Practice address fax:** (888) 712-9476
- **Mailing address:** 1605 COUNTRY RD, BLACKWELL, OK 74631-6749
- **Mailing address phone:** (580) 716-0245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/13/2021
- **Last updated:** 05/10/2023