Christopher    Nozum    RPT
Contract Details
Results Physiotherapy
Facility name
Provider ID
P000000001
NPI
1548002777
Tax ID
371349655
Effective Date
8/2/2024
Last Updated
8/14/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
7559 Highway 72 W Suite 110C
Madison, AL 35758
United States
Phone
256-772-9155 (Phone)
Billing Details
Address
7559 Highway 72
Suite 110
Madison, AL 35758
Billing Phone
256-772-9155
Specialty Type
Physical Therapy
Map
Address