Kathleen  L  Hall    RPT
Contract Details
Chilton County Physical Therapy
Facility name
Provider ID
P000006934
NPI
1245552231
Tax ID
455315496
Effective Date
3/8/2013
Last Updated
3/2/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
70.00
Location Details
Address
2030 Lay Dam Road
Clanton, AL 35045
United States
County
Chilton
Phone
205-755-6110 (Phone)
Billing Details
Address
2030 Lay Dam Road
Clanton, AL 35045
Billing Phone
205-755-6110
Specialty Type
Physical Therapy
Map
Address