Provider Demographics
NPI:1417582347
Name:PRYOR, NORIA (DPT)
Entity Type:Individual
Prefix:
First Name:NORIA
Middle Name:
Last Name:PRYOR
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6550 ENCHANTED VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-1755
Mailing Address - Country:US
Mailing Address - Phone:925-487-8395
Mailing Address - Fax:
Practice Address - Street 1:2385 E PRATER WAY STE 301
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89434-9638
Practice Address - Country:US
Practice Address - Phone:775-356-4960
Practice Address - Fax:775-356-4991
Is Sole Proprietor?:No
Enumeration Date:2020-03-11
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT298195225100000X
NV4444225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist