Contract Details
Facility name
Drayer Physical Therapy
Provider ID
P000000001
NPI
1952732448
Tax ID
464053647
Effective Date
8/26/2024
Last Updated
8/16/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
111 Dees Drive Suite D
Madison, MS 39110
United States
Phone
769-225-2165 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
Specialty Type
Physical Therapy
Map
Address