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NPI 1376088799

NPI 1376088799 : PT PROS, INC. : ELIZABETHTOWN, KY

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General NPI Number Information
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    NPI Number           |    1376088799
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    Entity Type          |    Organization 
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    Legal Business Name  |    PT PROS, INC. 
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Dates
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    Enumeration Date     |    12/20/2016
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    Last Update Date     |    10/01/2025
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Provider Practice Location Address
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    Address Line         |    4031 N DIXIE HWY SUITE 104
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    City                 |    ELIZABETHTOWN
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    State                |    KY
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    Zip                  |    42701-7873
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    Country              |    US
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    Telephone            |    606-526-2917
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    Fax                  |    606-526-2901
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Provider Business Mailing Address
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    Address Line         |    383 CORBIN CENTER DR 
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    City                 |    CORBIN
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    State                |    KY
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    Zip                  |    40701-1895
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    Country              |    US
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    Telephone            |    606-526-2909
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    Fax                  |    606-526-2901
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     CONNIE D HAUSER 
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    Credential           |    PT
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    Telephone            |    606-526-2918
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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