Elizabeth    Bowman    RPT
Contract Details
Results Physiotherapy
Facility name
Provider ID
P000000001
NPI
1982833240
Tax ID
371349655
Effective Date
11/30/2020
Last Updated
1/9/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
14945 E Limestone Road Suite B
Harvest, AL 35749
United States
Phone
256-998-5102 (Phone)
Billing Details
Address
14945 E Limestone Road
Suite B
Ooltewah, TN 35749
Billing Phone
423-238-7217
Specialty Type
Physical Therapy
Map
Address