| NPI | 1144965666 |
|---|---|
| Other Name | ALYSSA JO PRATT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NC 855) |
| 213E00000X Podiatrist (Licence: NC 855) | |
| 213ES0131X (Licence: NC 855) | |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2025-05-12 |