JORDAN MATTHEW PRUITT

FORT RILEY, KS
NPI1639843154
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2021-08-07
Last Update Date2021-08-09
Business Address
JORDAN MATTHEW PRUITT DPT
7672 ESTES RD
FORT RILEY, KS 66442-5778
Phone number: 409-474-1409
Mailing Address
JORDAN MATTHEW PRUITT DPT
25125 LOOKOUT DR
FORT RILEY, KS 66442-4619
Phone number: 409-474-1409