Healthcare Provider Details

I. General information

NPI: 1205913415
Provider Name (Legal Business Name): PRATT CLINIC OF CHIROPRACTIC PS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
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 Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM DAVID PRATT
Title or Position: OWNER
Credential: DC
Phone: 509-782-1312