Individual
DEVIN DESHON PRATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
12000 LAMAR AVE, OVERLAND PARK, KS 66209-2705
(913) 735-0997
Mailing address
7110 LACKMAN RD APT 808, SHAWNEE, KS 66217-8330
(816) 752-0328
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-04091
KS
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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