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Contract Details
Agilitas USA
Facility name
Results Physiotherapy
Provider ID
P000000001
NPI
1962417444
Tax ID
371349655
Effective Date
12/30/2022
Last Updated
1/9/2023
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1136 Ronnie McDowell Avenue
Russellville, AL 35654
United States
Phone
256-398-8702
(
Phone
)
Fax
256-398-8683
Billing Details
Address
P.O. Box 306123
Nashville, TN 37230
Billing Phone
615-373-1350
Specialty Type
Physical Therapy