NPI 1104172048
Thomas Pruitt
Practice location
- Address
- 501 E Chipeta Way, Salt Lake City, UT 84108-1222
- Phone
- (807) 857-7992
- Mailing address
- 622 Elizabeth St, Salt Lake City, UT 84102-3906
Registered specialties
Licensed Psychiatric Technician
Primary
Registry record
- NPI
- 1104172048
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 30 Jul 2012
- Record last updated
- 30 Jul 2012
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.