Individual
MR. HEATH PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSCS
Contact information
Practice address
3801 BRODY DR, MOORE, OK 73160-7564
(405) 863-3083
Mailing address
3801 BRODY DR, MOORE, OK 73160-7564
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
641
OK
Other
Enumeration date
01/27/2016
Last updated
07/13/2016
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