Individual provider · Type 1 NPI

Jaimie Pruitt, LPTA

Physical Therapy Assistant · Suffolk, VA

NPI number 1174122907 Active

Practice location

100 Anna Goode Way
Suffolk, VA 23434-9236

Mailing address

3100 Somme Ave Apt B
Norfolk, VA 23509-1844

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2306605691 (VA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1174122907

Jaimie Pruitt, LPTA's National Provider Identifier is 1174122907, issued on Oct 22, 2020. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Suffolk, VA. The record was last updated on Oct 22, 2020.