Provider Demographics
NPI:1437611944
Name:PRITCHETT, CARRIGAN (LMT)
Entity Type:Individual
Prefix:
First Name:CARRIGAN
Middle Name:
Last Name:PRITCHETT
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:813 DILIGENCE DR STE 121C
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-4285
Mailing Address - Country:US
Mailing Address - Phone:757-660-1796
Mailing Address - Fax:
Practice Address - Street 1:813 DILIGENCE DR STE 121C
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-4285
Practice Address - Country:US
Practice Address - Phone:757-660-1796
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-03
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0019017018225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist