Organization · Type 2 NPI

Pro Balance LLC

Prosthetic/Orthotic Supplier · Kingsport, TN

NPI number 1104012319 Active

Practice location

2408 Fort Henry Drive
Kingsport, TN 37664

Fax (423) 246-2803

Specialties and licenses

Taxonomy	Code	License
Prosthetic/Orthotic Supplier Primary	335E00000X	PRO16 (TN)

Prosthetic/Orthotic Supplier: 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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About NPI 1104012319

Pro Balance LLC's National Provider Identifier is 1104012319, issued on Sep 20, 2007. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Kingsport, TN. The record was last updated on Jan 7, 2008.