Kristal Lee Pruett
Physical Therapy Assistant
2781 Osborn Dr
Lake Havasu City
, Arizona 86406-8629
Kristal Lee Pruett
Physical Therapy Assistant
2781 Osborn Dr
Lake Havasu City
, Arizona 86406-8629
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Kristal Lee Pruett
- 836 Rolling Hills Dr
- Lake Havasu City, AZ
- Zip : 86406-7118
- Phone :
Second Address
- Kristal Lee Pruett
- 2781 Osborn Dr
- Lake Havasu City, AZ
- Zip : 86406-8629
- Phone : (928) 505-5552
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 10274APTA | AZ |
National Provider Identifier
| NPI | 1013356773 |
|---|---|
| Provider Name | Kristal Lee Pruett |
| First Address | Lake Havasu City, AZ 86406-7118 |
| Second Address | Lake Havasu City, AZ 86406-8629 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/06/2013 |
| Last Update Date | 17/06/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.