Most Relevant Information
Provider Data
| NPI Number: | 1003520347 |
| Provider Name: | AMELIE RHOSHUNDA PRUITT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MT137429 |
Most Important Dates
| Enumeration Date: | 01/11/2023 |
| Last Updated: | 01/11/2023 |
Provider Practice Location
6465 E MOCKINGBIRD LN STE 344
DALLAS
TX
752147018
Practice Location Phone/Fax
| Phone: | 4695775491 |
| Fax: |
Provider Mailing Location
1900 PACIFIC AVE APT 1706
DALLAS
TX
752014964
Provider Mailing Phone/Fax
| Phone: | 4695775491 |
| Fax: |