Roger    Gurley    RPT
Contract Details
ATI Holdings of Alabama, LLC
Facility name
Provider ID
P000008762
NPI
1003017187
Tax ID
352585937
Effective Date
6/19/2017
Last Updated
11/29/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
1877 Cherokee Ave SW
Cullman, AL 35055
United States
County
Cullman
Phone
2567271701 (Phone)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
6302962222
Specialty Type
Physical Therapy
Map
Address