Doctor Name: | RONALD R PRATT |
NPI Number: | 1548586365 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., M.AC. |
License Number: | MA46960 |
Business Practice Address: | 3200 Brighton Henrietta Town Line Rd Rochester, NY - 146232754 |
Business Phone Number: | 5852429518 |
Business Fax Number: | |
Mailing Address: | 2051 Edwards Rd, WATERLOO |
State: | NY |
Postal Code: | 131659574 |
Phone Number: | 6463194657 |
Fax Number: | |
NPI Enumeration Date: | 04/19/2010 |
NPI Last Update Date: | 10/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA46960 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |