Chris  M  Allison    RPT
Contract Details
TherapySouth--Chelsea
Facility name
Provider ID
P000007464
NPI
1093978389
Tax ID
454675823
Effective Date
7/25/2012
Last Updated
12/19/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2823 Greystone Commercial Boulevard
Birmingham, AL 35242
United States
County
Shelby
Phone
0254081713 (Phone)
Billing Details
Address
100 Chelsea Corners Way
Suite 101
Chelsea, AL 35043
Billing Phone
2056787272
Specialty Type
Physical Therapy
Map
Address