Individual
JAKE PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2323 E APACHE BLVD, TEMPE, AZ 85281-4971
(618) 772-8337
Mailing address
2323 E APACHE BLVD, TEMPE, AZ 85281-4971
(618) 772-8337
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/27/2017
Last updated
07/21/2022
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