Provider Demographics
NPI:1992443535
Name:PRATT, ROBERT (DC)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:PRATT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 NEW LONDON AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-3036
Mailing Address - Country:US
Mailing Address - Phone:401-216-4735
Mailing Address - Fax:401-216-4735
Practice Address - Street 1:1150 NEW LONDON AVE STE 200
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-3036
Practice Address - Country:US
Practice Address - Phone:401-216-4735
Practice Address - Fax:401-216-4735
Is Sole Proprietor?:No
Enumeration Date:2022-05-24
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1124111N00000X
RIDCP00730111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor