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

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: July 19, 2026.

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
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

Other Identifiers 2

Medicaid1454327TN
Medicare NSC4522550001TN

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104012319, enumerated as an "organization" on September 20, 2007.

The provider is located at 2408 FORT HENRY DRIVE KINGSPORT, TN 37664 and the phone number is (423) 246-7272.

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.