Individual
JAMES JONATHAN PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, OTC
Contact information
Practice address
1139 3RD ST, SOUTH LAKE TAHOE, CA 96150-3465
(530) 541-3100
Mailing address
175 SKYLINE DR, MIDDLEBURY, CT 06762-1720
(203) 509-9051
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001492
GA
Other
Enumeration date
09/06/2008
Last updated
09/06/2008
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