Individual provider · Type 1 NPI
Grahmby Pratt
Student in an Organized Health Care Education/Training Program · Manitowoc, WI
NPI number
1780234583
Active
Practice location
857 N 11th St
Manitowoc, WI 54220-3308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1780234583
Grahmby Pratt's National Provider Identifier is 1780234583, issued on Sep 13, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Manitowoc, WI. The record was last updated on Sep 13, 2019.