MR. Jason Lee Prather, ATC

NPI #1932221793 in Ada, Oklahoma

Provider Information

NPI Number
1932221793
Entity Type
Individual
Name
MR. Jason Lee Prather, ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Credential
ATC
Enumeration Date
Apr 4, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1100 E 14TH ST
City
Ada
ZIP Code
74820-6915
Phone
(580) 310-5315

Specialties & Taxonomy Codes

Specialty
Specialist

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