Sarah  D  Suddarth    RPT
Contract Details
BenchMark Physical Therapy of Alabama, LLC
Facility name
Provider ID
P000008523
NPI
1174831499
Tax ID
300714977
Effective Date
12/1/2016
Last Updated
12/1/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
936 Highway 72 East
Athens, AL 35611
United States
County
Limestone
Phone
2566848343 (Phone)
Billing Details
Address
8823 Production Lane
Ooltewah, TN 37363
Billing Phone
4232387217
Specialty Type
Physical Therapy
Map
Address