Kewin    Nielsen    RPT
Contract Details
Results Physiotherapy
Facility name
Provider ID
P000000001
NPI
1649839564
Tax ID
371349655
Effective Date
6/20/2022
Last Updated
5/24/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
12290 Highway 231
Meridianville, AL 35759
United States
Phone
256-562-8340 (Phone)
Billing Details
Address
P.O. Box 306123
Nashville, TN 37230
Billing Phone
615-373-1350
Specialty Type
Physical Therapy
Map
Address