Breana    Richardson    RPT
Contract Details
M3 Endeavor
Facility name
Provider ID
P000000001
NPI
1699431171
Tax ID
473586611
Effective Date
12/12/2018
Last Updated
9/22/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
8331 Gadsden Highway
Trussville, AL 35173
United States
Phone
205-631-6675 (Phone)
Billing Details
Address
8331 Gadsden Highway
Trussville, AL 35173
Billing Phone
205-631-6675
Specialty Type
Physical Therapy
Map
Address