Provider Demographics
NPI:1881579969
Name:PRATT, VICTORIA LIND (PA-S)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:LIND
Last Name:PRATT
Suffix:
Gender:F
Credentials:PA-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:762 120TH ST S
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98444-3749
Mailing Address - Country:US
Mailing Address - Phone:661-305-1614
Mailing Address - Fax:
Practice Address - Street 1:762 120TH ST S
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98444-3749
Practice Address - Country:US
Practice Address - Phone:661-305-1614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program