Healthcare Provider Details

I. General information

NPI: 1588820567
Provider Name (Legal Business Name): THERAPY PROS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2008
Last Update Date: 12/08/2022
Certification Date: 12/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1212 HULL ROAD UNITE F
SANDUSKY OH
44870
US

IV. Provider business mailing address

3317 HARVEST RIDGE DRIVE
HURON OH
44839-2076
US

V. Phone/Fax

Practice location:
  • Phone: 419-602-2803
  • Fax: 877-679-8384
Mailing address:
  • Phone: 419-602-2803
  • Fax: 877-679-8384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberOH 5557
License Number StateOH

VIII. Authorized Official

Name: MRS. KRISTIN CASHMAN ALLEN
Title or Position: PHYSICAL THERAPIST
Credential: PT
Phone: 419-602-2803