Taylor    Kelly    RPT
Contract Details
HealthActions
Facility name
Provider ID
P000000001
NPI
1811565971
Tax ID
630815380
Effective Date
6/28/2021
Last Updated
6/28/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1711 College Avenue
Jackson, AL 36545
United States
Phone
251-246-5761 (Phone)
Billing Details
Address
1711 College Avenue
Jackson, AL 36545
Billing Phone
251-246-5761
Specialty Type
Physical Therapy
Workers Comp Coordinator
Jean
Weatherly
251-246-3779
jweatherly@healthaction.net
Map
Address