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Andrea Jill Pratte, ATC

Specialist/Technologist, Athletic Trainer in Fayette, MO. Individual provider (NPI-1).

NPI number1295902138
StatusActive
Last updated in NPPESMay 9, 2008

Details

NPI
1295902138
Entity type
Individual (NPI-1)
Name
Mrs. Andrea Jill Pratte
Credential
ATC
Sex
Female
Sole proprietor
No
Enumeration date
May 9, 2008
Last updated
May 9, 2008

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer119989MOYes

Practice location

411 Central Methodist Sq
Athletic Training Department
Fayette, MO 65248-1104

Phone 660-248-6261 · Fax 660-248-6381

Mailing address

411 Central Methodist Sq
Athletic Training Department
Fayette, MO 65248-1104

Phone 660-248-6261 · Fax 660-248-6381

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Athletic Trainer providers in Fayette, MO

All 19 Athletic Trainer providers in Fayette · All 109 providers in Fayette

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