PRO BALANCE LLC
NPI 1104012319
Prosthetic/Orthotic Supplier in Kingsport, TN

Q: What is Pro Balance LLC's NPI number?

The NPI number for Pro Balance LLC is 1104012319. It was assigned to this organization in the NPPES registry on September 20, 2007.

Q: What is Pro Balance LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Q: When was this NPI record last updated?

The NPPES record for Pro Balance LLC was last updated on January 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 20, 2007

2408 FORT HENRY DRIVE, KINGSPORT, TN 37664(423) 246-7272(423) 246-2803 Get Directions Write a Review

NPPES record last updated: January 7, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Pro Balance Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRO BALANCE LLC (NPI 1104012319) is a healthcare organization registered as a prosthetic/orthotic supplier in Kingsport, Tennessee and active in the NPI registry since September 2007. The organization lists Gilgia Prumbs, Member, as its authorized official.

NPPES Registry Identity

NPI1104012319

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NamePRO BALANCE LLC

Location Address2408 FORT HENRY DRIVEKingsport, TN 37664

Mailing Address2408 Fort Henry DriveKingsport, TN 37664 · (423) 246-7272 · Fax (423) 246-2803

Phone(423) 246-7272

Fax(423) 246-2803

Organization SubpartNo

Authorized OfficialGilgia PrumbsMember · (423) 246-7272

Enumeration DateSeptember 20, 2007

Last NPPES UpdateJanuary 7, 2008

✔ NPI 1104012319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

License✔ Licensed in TN · PRO16

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.

2408 FORT HENRY DRIVE, Kingsport, TN 37664

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Other Identifiers 2

Medicaid1454327TN

Medicare NSC4522550001TN

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pro Balance LLC's NPI number?

The NPI number for Pro Balance LLC is 1104012319. It was assigned to this organization in the NPPES registry on September 20, 2007.

Where is Pro Balance LLC located?

Pro Balance LLC is located at 2408 Fort Henry Drive, Kingsport, TN 37664. The listed phone number is (423) 246-7272.

What is Pro Balance LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Pro Balance LLC was last updated on January 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.