Organization
PRO PHYSICAL THERAPY LLC
Active
Other names
PRO Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JANI L BREWER PT (OWNER)
(270) 252-7600
Entity
Organization
Contact information
Practice address
302 US HIGHWAY 68 W, BENTON, KY 42025
(314) 277-9718
Mailing address
302 US HIGHWAY 68 W, BENTON, KY 42025-7797
(314) 277-9718
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/13/2021
Last updated
12/06/2022
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