Contract Details
Therapy Direct, Inc.
Facility name
Therapy Direct Physical Therapy Network Clinic
Provider ID
P000008122
Tax ID
364737912
Effective Date
12/1/2014
Last Updated
4/12/2018
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
100-B Professional Lane
Enterprise, AL 36330
United States
County
Coffee
Phone
8889046776 (Phone)
Billing Details
Address
P.O. Box 915
Ooltewah, TN 37363
Billing Phone
8889046776
Specialty Type
Physical Therapy
Map
Address