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Pro Balance Llc
Prosthetic/Orthotic Supplier in Kingsport, Tennessee
NPI 1104012319

Pro Balance Llc is a Prosthetic/Orthotic Supplier based in Kingsport, TN. Pro Balance Llc practices in Kingsport, TN. The NPI Number for Pro Balance Llc is 1104012319 and holds a License No. PRO16 (Tennessee).

The current practice location address for Pro Balance Llc is 2408 Fort Henry Drive, Kingsport, TN and can be reached out via phone at 423-246-7272 and via fax at 423-246-2803. You can also correspond with Pro Balance Llc through the mailing address at 2408 FORT HENRY DRIVE, KINGSPORT, TN - 37664 (mailing address contact number: 423-246-7272).

Location: 2408 Fort Henry Drive, Kingsport, TN, 37664
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104012319
Provider Name
Pro Balance Llc
Credential
Provider Entity Type
Organization
Address
2408 Fort Henry Drive, Kingsport, TN, 37664
Phone Number
423-246-7272
Fax Number
423-246-2803
Provider Enumeration Date
09/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1454327 05 TN
institution
Provider Business Practice Location Address Details
Address
2408 Fort Henry Drive
City
Kingsport
State
Tennessee
Zip
37664
Phone Number
423-246-7272
Fax Number
423-246-2803
person
Provider Business Mailing Address Details
Address
2408 Fort Henry Drive
City
Kingsport
State
Tennessee
Zip
37664
Phone Number
423-246-7272
Fax Number
423-246-2803
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
PRO16 (Tennessee)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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