Individual
REBA PRUETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4020 UNION CROSS RD, WILDERSVILLE, TN 38388-8297
(731) 614-7499
(731) 968-4333
Mailing address
4020 UNION CROSS RD, WILDERSVILLE, TN 38388-8297
(731) 614-7499
(731) 968-4333
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2354
TN
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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