Johnitia    Williams    RPT
Contract Details
ATI Holdings of Alabama, LLC
Facility name
Provider ID
P000009242
NPI
1649670621
Tax ID
352585937
Effective Date
10/29/2018
Last Updated
10/25/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
1811 Hwy 78 Suite 108 & 109
Jasper, AL 35501
United States
County
Walker
Phone
2052828445 (Phone)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
3602962222
Specialty Type
Physical Therapy
Map
Address