Contract Details
TherapySouth
Facility name
TherapySouth Cullman
Provider ID
P000008629
NPI
1457804775
Tax ID
812765783
Effective Date
7/1/2016
Last Updated
10/18/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1208 Cullman Shopping Center NW
Cullman, AL 35055
United States
County
Cullman
Phone
256-775-4456 (Phone)
Billing Details
Address
1208 Cullman Shopping Center NW
Cullman, AL 35055
Billing Phone
256-775-4456
Specialty Type
Physical Therapy
Map
Address