Contract Details
Facility name
Choctaw Therapy Services
Provider ID
P000003354
NPI
1124124342
Tax ID
582335636
Effective Date
5/19/2015
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1951 Riderwood Drive
Butler, AL 36904
United States
County
Choctaw
Phone
2054597655 (Phone)
Billing Details
Address
1951 Riderwood Drive
Butler, AL 36904
Billing Phone
2054597655
Specialty Type
Physical Therapy
Map
Address