Provider Demographics
NPI:1730716481
Name:HEALTHPROS LLC
Entity type:Organization
Organization Name:HEALTHPROS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:BANNON
Authorized Official - Last Name:GATTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-246-2233
Mailing Address - Street 1:PO BOX 589
Mailing Address - Street 2:
Mailing Address - City:MURRELLS INLET
Mailing Address - State:SC
Mailing Address - Zip Code:29576-0589
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5087 HIGHWAY 17 BYPASS SOUTH
Practice Address - Street 2:
Practice Address - City:MURRELLS INLET
Practice Address - State:SC
Practice Address - Zip Code:29576-5043
Practice Address - Country:US
Practice Address - Phone:828-246-2233
Practice Address - Fax:843-405-0148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-24
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty