NPI 1003212168

Tyler Pruitt, ATC

Practitioner Athletic Trainer Morehead, KY

Practice location

Address: 499 Viking Dr, Morehead, KY 40351-8320
Phone: (606) 784-8956

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Kentucky →

Registry record

NPI: 1003212168
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Nov 2014
Record last updated: 17 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.