Contract Details
ATI Holdings of Alabama, LLC
Facility name
ATI Physical Therapy
Provider ID
P000009121
Tax ID
352585937
Effective Date
4/30/2018
Last Updated
4/23/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
124 W Grand Avenue Suite A-4
Rainbow City, AL 35906
United States
County
Etowah
Phone
2562959048 (Phone)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
3602962222
Specialty Type
Physical Therapy
Map
Address