Contract Details
Impact Therapy, Inc.
Facility name
Impact Therapy
Provider ID
P000008980
NPI
1073916292
Tax ID
270463870
Effective Date
10/16/2017
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
200 Medical Street
Snead, AL 35952
United States
County
Etowah
Phone
2053592850 (Phone)
Billing Details
Address
P.O. Box 1014
Gadsden, AL 35901
Billing Phone
2053592850
Specialty Type
Physical Therapy
Map
Address