Ethan Prusse
Ethan Prusse is a Case Manager/Care Coordinator in Tooele, Utah. Licensed in Utah. Registered with an NPI since 2025.
- Licensed in
- UT
- In the registry since
- 2025
Practice location Address checks out
100 S 1000 WTooele, UT 84074-4010
Phone: (888) 949-4864
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X · Licence F25-125714 (UT) |
|---|
Record details
| NPI number | 1023905924 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 23, 2025 |
| Last updated in NPPES | July 2, 2026 |
| Certification date | July 2, 2026 |
| Mailing address | 3725 W 4100 S Ste 201, West Valley City, UT 84120-6490 |
Other providers in Tooele
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Shilo Miranda Mueller
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Cassia Myrberg
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Paki Olive
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Megan Perez
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Isabella Mia Romero
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Christine Ardis Sagers
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Ashley Salvesen, CCM
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