Healthcare Provider Details

I. General information

NPI: 1134292857
Provider Name (Legal Business Name): WILLIAM DAVID PRATT DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 01/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 COTTAGE AVE
CASHMERE WA
98815
US

IV. Provider business mailing address

102 COTTAGE AVE
CASHMERE WA
98815
US

V. Phone/Fax

Practice location:
  • Phone: 509-782-1312
  • Fax: 509-782-1733
Mailing address:
  • Phone: 509-782-1312
  • Fax: 509-782-1733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH00000863
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: