Individual
MR. ANTHONY SHAWN PRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., P.T.
Contact information
Practice address
710 E. MAIN ST., LEXINGTON, KY 40502
(859) 629-6106
(859) 422-6712
Mailing address
710 E. MAIN ST., LEXINGTON, KY 40502
(859) 629-6106
(859) 422-6712
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
003758
KY
2251P0200X
Pediatric Physical Therapist
Primary
003758
KY
Other
Enumeration date
09/06/2017
Last updated
07/21/2022
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