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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KRISTEN AGNEW PRUITT, M.S, PT

Active Sole Proprietor

MRS. KRISTEN AGNEW PRUITT, M.S, PT is a Physical Therapy Assistant healthcare provider located in GAINESVILLE, Georgia. NPI 1114012911 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · GAINESVILLE, GA

Registration Details

NPI Number
1114012911
Provider Type
Individual
Gender
Female
NPI Issued
Oct 4, 2006 (19.819903163599 yrs)
Last Updated
Jul 9, 2007
License
PT004847 (GA)
Sole Proprietor
Yes

Practice Information

Address
4615 ENFIELD DR
GAINESVILLE, GA, 305064663
Browse GA providers · Browse ZIP 30506
Phone
6784501174
Fax
6784501174
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in GAINESVILLE, GA

Name Credential NPI
MRS. PAMELA KAYE ROBERS PT 1902865884
WARNER BROCK P.T.,CMDT, MBA, CEAS 1063450054
WILLIAM H F MCVEY PT, DPT 1467491696
CANDACE GODWIN 1841308095
WILLIAM JARED JINKS PT 1215048004
JAMES HLAVACEK PT 1477632602
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.