Provider Demographics
NPI:1164757324
Name:SPRATT, MICHAEL DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:DAVID
Last Name:SPRATT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 WEST ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:DOUGLAS
Mailing Address - State:MA
Mailing Address - Zip Code:01516-2160
Mailing Address - Country:US
Mailing Address - Phone:508-476-5577
Mailing Address - Fax:508-476-5124
Practice Address - Street 1:15 WEST ST
Practice Address - Street 2:SUITE 204
Practice Address - City:DOUGLAS
Practice Address - State:MA
Practice Address - Zip Code:01516-2160
Practice Address - Country:US
Practice Address - Phone:508-476-5577
Practice Address - Fax:508-476-5124
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-06
Last Update Date:2010-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3248111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor