Contract Details
Drayer Physical Therapy Institute
Facility name
Drayer Physical Therapy Institute
Provider ID
P000008218
NPI
1083003685
Tax ID
463273842
Effective Date
9/1/2016
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
3102 Rainbow Drive
Rainbow City, AL 35906
United States
County
Etowah
Phone
2565496387 (Phone)
Billing Details
Address
199 N. Brookmoore Drive
Columbus, MS 39705
Billing Phone
6623276705
Specialty Type
Physical Therapy
Map
Address