Joel  R  Lyons    RPT
Contract Details
Physiotherapy Associates
Facility name
Provider ID
P000002668
NPI
1821033473
Tax ID
382617193
Effective Date
10/12/2011
Last Updated
11/20/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2013 Exeter Road Suite 10
Germantown, TN 38138
United States
County
Shelby
Phone
9017374035 (Phone)
Billing Details
Address
2013 Exeter Road
Suite 10
Germantown, TN 38137
Billing Phone
9017374035
Specialty Type
Physical Therapy
Map
Address