Organization
PT PROS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALLIE ELY (CREDENTIALING AGENT)
(606) 526-2911
Entity
Organization
Contact information
Practice address
1921 KALISTE SALOOM RD STE 103, LAFAYETTE, LA 70508-6183
(606) 526-2911
(606) 526-2901
Mailing address
383 CORBIN CENTER DR, CORBIN, KY 40701-1895
(606) 526-2911
(606) 526-2901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
Update your record
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