Contract Details
A Physiotherapy Associates Company
Facility name
Physiotherapy Associates
Provider ID
P000007941
NPI
1871688416
Tax ID
382617193
Effective Date
11/2/2011
Last Updated
7/25/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
8457 US Hwy 51 North Suite 103
Millington, TN 38053
United States
County
Shelby
Phone
9018733773 (Phone)
Billing Details
Address
P.O. Box 676942
Dallas, TX 75267
Billing Phone
Specialty Type
Physical Therapy
Map
Address