Individual
CONNOR PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
635 LOCUST ST UNIT 116, SAINT LOUIS, MO 63101-1700
(314) 241-1891
Mailing address
6990 E SHEA BLVD STE 108, SCOTTSDALE, AZ 85254-5208
(480) 590-4412
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2019021009
MO
225100000X
Physical Therapist
Primary
PT015305
AZ
Other
Enumeration date
07/19/2019
Last updated
08/29/2023
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