Provider Demographics
NPI:1255331484
Name:PRATT, JAMES J (MA, ATC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:J
Last Name:PRATT
Suffix:
Gender:M
Credentials:MA, ATC
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Mailing Address - Street 1:1321 SALT FORK CIR
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-8864
Mailing Address - Country:US
Mailing Address - Phone:517-323-7355
Mailing Address - Fax:517-853-8822
Practice Address - Street 1:1321 SALT FORK CIR
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-8864
Practice Address - Country:US
Practice Address - Phone:517-323-7355
Practice Address - Fax:517-853-8822
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-29
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer