Individual
CHASE RYAN PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7301 PEAK DR STE 101, LAS VEGAS, NV 89128-9038
(702) 940-3000
(702) 940-3004
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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