Colleen  M  Durham    RPT
Contract Details
TheraFit Physical Therapy
Facility name
Provider ID
P000003535
NPI
1780987586
Tax ID
680560586
Effective Date
4/15/2008
Last Updated
6/6/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
12819 Highway 231/431 North Suite G
Hazel Green, AL 35750
United States
County
Madison
Phone
2568299544 (Phone)
Billing Details
Address
12819 Highway 231/431 North
Suite G
Hazel Green, AL 35750
Billing Phone
2568299544
Specialty Type
Physical Therapy
Map
Address