TYLER PRUITT

MOREHEAD, KY
NPI1003212168
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2014-11-17
Last Update Date2014-11-17
Business Address
-- TYLER PRUITT ATC
499 VIKING DR
MOREHEAD, KY 40351-8320
Phone number: 606-784-8956
Mailing Address
-- TYLER PRUITT ATC
499 VIKING DR
MOREHEAD, KY 40351-8320
Phone number: 606-784-8956
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