Andrew    Hutchinson    RPT
Contract Details
ATI Holdings of Alabama, LLC
Facility name
Provider ID
P000009357
NPI
1073980736
Tax ID
352585937
Effective Date
6/4/2019
Last Updated
6/25/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
7201 Happy Hollow Road Suite 202-B
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