Pruitt, Mikayla

Pruitt, Mikayla is an individual health care provider with primary practice located at 5110 E State Route 571 , Tipp City OH 45371-8327. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Pruitt, Mikayla can be contacted via phone (937) 479-4164.

Contact Information

Primary practice address
5110 E State Route 571 Tipp City OH 45371-8327
Phone: (937) 479-4164
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1538536941
LBN Legal business name Pruitt, Mikayla
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2015
Last updated Sep 1st, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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