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Contract Details
ATI Holdings, LLC
Facility name
ATI Physical Therapy
Provider ID
P000008688
NPI
1063952646
Tax ID
621488455
Effective Date
1/17/2018
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
1808 Decatur Pike
Athens, TN 37303
United States
County
McMinn
Phone
4232521637
(
Phone
)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
3602962222
Specialty Type
Physical Therapy
Map
Address