Contract Details
Drayer Physical Therapy Alabama, LLC
Facility name
Drayer Physical Therapy Institute
Provider ID
P000007192
NPI
1841539574
Tax ID
463273842
Effective Date
6/1/2014
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
42417 Highway 195 East
Haleyville, AL 35565
United States
County
Winston
Phone
2054868811 (Phone)
Billing Details
Address
199 N. Brookmoore Drive
Columbus, MS 39705
Billing Phone
6623276705
Specialty Type
Physical Therapy
Map
Address