Paige    Trammell    RPT
Contract Details
ATI Holdings of Alabama, LLC
Facility name
Provider ID
P000009195
NPI
1255530036
Tax ID
352585937
Effective Date
8/27/2018
Last Updated
8/10/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
1401 Doug Baker Blvd Suite 104
Birmingham, AL 35242
United States
County
Shelby
Phone
2057303660 (Phone)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
3602962222
Specialty Type
Physical Therapy
Map
Address