Tracy  L  Teague    RPT
Contract Details
ATI Holdings of Alabama, LLC
Facility name
Provider ID
P000001718
NPI
1992889760
Tax ID
352585937
Effective Date
4/9/2018
Last Updated
4/23/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
7201 Happy Hollow Road
Trussville, AL 35173
United States
County
Jefferson
Phone
2055082279 (Phone)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
3602962222
Specialty Type
Physical Therapy
Map
Address