Individual
JORDAN MATTHEW PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 477-5559
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 477-5559
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/07/2021
Last updated
04/08/2025
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