Individual
TRISH L PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1648 E HERNDON AVE STE 106, FRESNO, CA 93720-3381
(559) 432-7222
(559) 432-7541
Mailing address
1648 E HERNDON AVE STE 106, FRESNO, CA 93720-3381
(559) 432-7222
(559) 432-7541
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
35893
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35893
UNITED HEALTHCARE
CA
Enumeration date
08/09/2013
Last updated
08/09/2013
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