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General NPI Number Information
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NPI Number | 1669965802
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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 | 06/12/2018
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 201 S MAIN ST
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City | LEITCHFIELD
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State | KY
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Zip | 42754-1425
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Country | US
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Telephone | 270-230-1729
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Fax | 270-230-1750
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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 | 606-526-2913
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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 | 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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