Organization
JT HEALTH LLC
Active
Other names
JT Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMIE D REGGIO PA (PRIMARY PROVIDER)
(580) 789-1628
Entity
Organization
Contact information
Practice address
105 E. GRAND, TONKAWA, OK 74653-3503
(580) 789-1628
(888) 712-9476
Mailing address
1605 COUNTRY RD, BLACKWELL, OK 74631-6749
(580) 716-0245
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187125879
FACILITY NPI
OK
Enumeration date
11/13/2021
Last updated
05/10/2023
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