Ashlee    Ellard    RPT
Contract Details
ATI Holdings of Alabama, LLC
Facility name
Provider ID
P000009260
NPI
1245639012
Tax ID
352585937
Effective Date
5/6/2019
Last Updated
6/25/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
3735 Corporate Woods Drive Suite 109
Vestavia, AL 35242
United States
County
Shelby
Phone
2052017358 (Phone)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
3602962222
Specialty Type
Physical Therapy
Map
Address