Jeffrey  P  Nuttall    RPT
Contract Details
ATI Holdings of Alabama, LLC
Facility name
Provider ID
P000000001
NPI
1427706498
Tax ID
352585937
Effective Date
3/23/2022
Last Updated
3/23/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
1401 Doug Baker Blvd Suite 104
Birmingham, AL 35242
United States
Phone
205-730-3660 (Phone)
Billing Details
Address
1401 Doug Baker Blvd
Suite 104
Birmingham, AL 35242
Billing Phone
205-730-3660
Specialty Type
Physical Therapy
Map
Address