Individual
JASON BLAKE TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6830 W 121ST CT, OVERLAND PARK, KS 66209-2021
(913) 239-8777
Mailing address
6830 W 121ST CT, OVERLAND PARK, KS 66209-2021
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03262
KS
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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