Individual
MS. KAYLEE A PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
108 PROFESSIONAL PKWY, TROY, MO 63379-2823
(636) 528-6080
(636) 528-3973
Mailing address
108 PROFESSIONAL PKWY, TROY, MO 63379-2823
(636) 528-6080
(636) 528-3973
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2015036909
MO
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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