| Mrs Kristen Agnew Pruitt, MS, PT | |
|
4615 Enfield Dr, Gainesville, GA 30506-4663 | |
| (678) 450-1174 | |
| (678) 450-1174 |
| Full Name | Mrs Kristen Agnew Pruitt |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 4615 Enfield Dr, Gainesville, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114012911 | NPI | - | NPPES |
| 10054142 | Other | GA | AMERIGROUP PROVIDER # |
| PT004847 | Other | GA | PHYSICAL THERAPY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT004847 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kristen Agnew Pruitt, MS, PT 4615 Enfield Dr, Gainesville, GA 30506-4663 Ph: (678) 450-1174 | Mrs Kristen Agnew Pruitt, MS, PT 4615 Enfield Dr, Gainesville, GA 30506-4663 Ph: (678) 450-1174 |
Jessica Ariel Smith, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 597 S Enota Dr Ne, Gainesville, GA 30501 Phone: 770-219-8218 | |
Mr. Edward Davis Ryan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1626 Hastings Ct, Gainesville, GA 30504 Phone: 678-936-0343 Fax: 678-450-6931 | |
Mr. Lee Watkins, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-8200 Fax: 770-219-3862 | |
Dr. Nicholas Arceneaux, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 250 John Morrow Jr Pkwy, Suite 115-116, Gainesville, GA 30501 Phone: 678-862-0007 | |
Sisu Of Georgia, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2360 Murphy Blvd, Gainesville, GA 30504 Phone: 770-535-8372 Fax: 770-535-0252 | |
Ian Magandy, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 975 Dawsonville Hwy Ste 6, Gainesville, GA 30501 Phone: 470-768-8100 Fax: 470-768-8101 | |
Tori Pou, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Spring St Se Ste 101, Gainesville, GA 30501 Phone: 770-615-7676 |