Contract Details
Therapy Direct, Inc.
Facility name
Therapy Direct Physical Therapy Network Clinic
Provider ID
P000008184
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
74186 Tallassee Highway
Wetumpka, AL 36092
United States
County
Elmore
Phone
8889046776 (Phone)
Billing Details
Address
P.O. Box 915
Ooltewah, TN 37363
Billing Phone
8889046776
Specialty Type
Physical Therapy
Map
Address