Landon Tate
Landon Tate is a Physical Therapy Assistant in Benton, Illinois. Licensed in Illinois. Registered with an NPI since 2014.
- Licensed in
- IL
- In the registry since
- 2014
Practice location Address checks out
902 S McLeansboro StBenton, IL 62812-3413
Phone: (618) 439-4501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 160.006481 (IL) |
|---|
Record details
| NPI number | 1124431424 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 4, 2014 |
| Last updated in NPPES | June 4, 2014 |
| Mailing address | 2907 Williamson County Pkwy, Marion, IL 62959-5256 |
Other providers in Benton
-
Ben Rice
7703 Grammer Hill Rd, Benton, IL 62812-4596 · (618) 724-7456
-
Mallory Brooke Shreves, PTA
405 Clayton St, Benton, IL 62812-1605 · (618) 927-4070