Individual
MR. JEREMIAH J TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
105 MEADOW VIEW RD, SUITE 4, BRISTOL, TN 37620-1725
(423) 844-6935
(423) 844-6937
Mailing address
105 MEADOW VIEW RD, SUITE 4, BRISTOL, TN 37620-1725
(423) 844-6935
(423) 844-6937
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5994
TN
2251X0800X
Orthopedic Physical Therapist
PT0000005994
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103I652884
—
TN
05
—
1517092
—
TN
Enumeration date
09/29/2009
Last updated
07/17/2025
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