Individual
MR. JEREMIAH J TATE
Active
Individual
MR. JEREMIAH J TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
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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