MR. Sky R Pruitt, PT

NPI #1164749974 in Coeur D Alene, Idaho

Provider Information

NPI Number
1164749974
Entity Type
Individual
Name
MR. Sky R Pruitt, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
May 3, 2010
Last Updated
Mar 14, 2013

Practice Location

Address
1917 N LAKEWOOD DR
Address 2
NORTH IDAHO PHYSICAL THERAPY
State
Idaho
ZIP Code
83814-2634
Phone
(208) 664-8194

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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