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Katelyn
Colson
RPT
Contract Details
LifeWork Therapy Services
Facility name
Provider ID
P000000001
NPI
1053963934
Tax ID
815052804
Effective Date
6/23/2018
Last Updated
11/30/2020
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
913 Highway 31 SW
Hartselle, AL 35640
United States
Phone
256-502-8684
(
Phone
)
Billing Details
Address
913 Highway 31 SW
Hartselle, AL 35640
Billing Phone
256-502-8684
Specialty Type
Physical Therapy
Website
Visit Website
Workers Comp Coordinator
Keeshia
Barnett
256-502-8684
therapy@lifeworkpt.com
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Address