Thomas Pruitt
Thomas Pruitt is a Licensed Psychiatric Technician in Salt Lake City, Utah. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
501 E Chipeta WaySalt Lake City, UT 84108-1222
Phone: (807) 857-7992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Psychiatric Technician (primary) | Taxonomy 167G00000X |
|---|
Record details
| NPI number | 1104172048 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 30, 2012 |
| Last updated in NPPES | July 30, 2012 |
| Mailing address | 622 Elizabeth St, Salt Lake City, UT 84102-3906 |