NPI 1104012319
Pro Balance LLC
Practice location
- Address
- 2408 Fort Henry Drive, Kingsport, TN 37664
- Phone
- (423) 246-7272
- Fax
- (423) 246-2803
Authorised official
- Name
- Gilgia Prumbs
- Title
- Member
- Phone
- (423) 246-7272
Registered specialties
Prosthetic/Orthotic Supplier
Primary
Registry record
- NPI
- 1104012319
- Entity type
- Organization
- NPI issued
- 20 Sep 2007
- Record last updated
- 7 Jan 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.