Individual provider · Type 1 NPI

Landon Tate

Physical Therapy Assistant · Benton, IL

NPI number 1124431424 Active

Practice location

902 S Mcleansboro St
Benton, IL 62812-3413

Mailing address

2907 Williamson County Pkwy
Marion, IL 62959-5256

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160.006481 (IL)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1124431424

Landon Tate's National Provider Identifier is 1124431424, issued on Jun 4, 2014. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Benton, IL. The record was last updated on Jun 4, 2014.