Provider Demographics
NPI:1407228935
Name:PRATT, SHERRI BRECHBILL (DC)
Entity type:Individual
Prefix:
First Name:SHERRI
Middle Name:BRECHBILL
Last Name:PRATT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:537 B AVE
Mailing Address - Street 2:
Mailing Address - City:CORONADO
Mailing Address - State:CA
Mailing Address - Zip Code:92118-1820
Mailing Address - Country:US
Mailing Address - Phone:757-288-5281
Mailing Address - Fax:
Practice Address - Street 1:3191 SPORTS ARENA BLVD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110-4569
Practice Address - Country:US
Practice Address - Phone:757-288-5281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-23
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30397111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor