Contract Details
Ancillary Care Services
Facility name
Cast Therapy
Provider ID
P000004292
NPI
1326317207
Tax ID
352429915
Effective Date
8/23/2012
Last Updated
10/10/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
652 Rodeo Drive
Erlanger, KY 41018
United States
County
Kenton
Phone
5132812278 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address