THOMAS PRUITT

SALT LAKE CITY, UT
NPI1104172048
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy167G00000X Licensed Psychiatric Technician
Enumeration Date2012-07-30
Last Update Date2012-07-30
Business Address
-- THOMAS PRUITT
501 E CHIPETA WAY
SALT LAKE CITY, UT 84108-1222
Phone number: 807-857-7992
Mailing Address
-- THOMAS PRUITT
622 ELIZABETH ST
SALT LAKE CITY, UT 84102-3906
Phone number: 801-755-6006