Individual
RAYMOND PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 S TOWNLINE RD, WAUTOMA, WI 54982-6922
(920) 787-5514
(920) 787-4737
Mailing address
400 S TOWNLINE RD, WAUTOMA, WI 54982-6922
(920) 787-5514
(920) 787-4737
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1300-146
WI
Other
Enumeration date
10/18/2021
Last updated
10/19/2021
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