Individual
GRANT STEVEN PRUESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1130 S SCOTT BLVD STE 1, IOWA CITY, IA 52240-2909
(319) 354-2429
(319) 338-5775
Mailing address
1130 S SCOTT BLVD STE 1, IOWA CITY, IA 52240-2909
(319) 354-2429
(319) 338-5775
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5203
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06-65463
—
IA
Enumeration date
10/12/2022
Last updated
10/12/2022
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