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Individual

ZACHARY KYLE TATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
3964 GOODMAN RD E STE 111, SOUTHAVEN, MS 38672-8761
(662) 890-6953
(662) 890-6954
Mailing address
800 CRESCENT CENTRE DR STE 600, FRANKLIN, TN 37067-7286
(615) 373-1350
(615) 221-9054

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
09/08/2017
Last updated
09/08/2017
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