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Individual

DR. JORDAN PRATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
215 N LAMAR AVE, HAYSVILLE, KS 67060-1266
(913) 683-5865
Mailing address
17568 TONGANOXIE DR, LEAVENWORTH, KS 66048-8804

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-05454
KS

Other

Enumeration date
02/26/2018
Last updated
02/26/2018
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