Diane    Coffey    RPT
Contract Details
Drayer Physical Therapy
Facility name
Provider ID
P000000001
NPI
1255525317
Tax ID
463273842
Effective Date
8/14/2024
Last Updated
8/28/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1622 Church Avenue SE
Jacksonville, AL 36265
United States
Phone
256-365-2792 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
4232387217
Specialty Type
Physical Therapy
Map
Address