Provider Demographics
NPI:1891762464
Name:SPRATT, GREGORY NOLAN (ATC/L, CSCS, PES)
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:NOLAN
Last Name:SPRATT
Suffix:
Gender:M
Credentials:ATC/L, CSCS, PES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:804 SWILLEY RD
Mailing Address - Street 2:
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33567-3245
Mailing Address - Country:US
Mailing Address - Phone:813-468-3823
Mailing Address - Fax:813-673-3175
Practice Address - Street 1:3102 N HIMES AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-1834
Practice Address - Country:US
Practice Address - Phone:813-875-7569
Practice Address - Fax:813-673-3175
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-02
Last Update Date:2015-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL 837174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist