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

MS. STEPHANIE MARIE PRUITT, ATC, LAT

Active Sole Proprietor

MS. STEPHANIE MARIE PRUITT, ATC, LAT is a Athletic Trainer healthcare provider located in DELAND, Florida. NPI 1255534210 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · DELAND, FL

Registration Details

NPI Number
1255534210
Provider Type
Individual
Gender
Female
NPI Issued
Jun 7, 2007 (19.145133355675 yrs)
Last Updated
Jul 8, 2007
License
AL 1818 (FL)
Sole Proprietor
Yes

Practice Information

Address
421 WOODLAND BLVD
UNIT 8317
DELAND, FL, 327230001
Browse FL providers · Browse ZIP 32723
Phone
3868227158
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in DELAND, FL

Name Credential NPI
MR. JOHN EARL MCFARLAND ATC,LAT,CSCS 1144283326
JEFFREY WILLIAM BISHOP ATC, LAT 1568429017
MRS. ERICA ELISABETH BIRD MSPT, ATC, LAT 1417096215
MR. JUDSON FANN MS, ATC, LAT, CSCS 1982806519
MR. TIMOTHY D MIESMER ATC 1962670307
MR. EDRIAN J HAIRSTON MS ATC LAT 1720255847
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.