Member Login
Home
About Us
Become a Provider
Become a Member
Administrators
Contact Us
Member Login
Contract Details
Facility name
TherapySouth Montgomery
Provider ID
P000000001
Tax ID
881307723
Effective Date
10/24/2022
Last Updated
10/11/2022
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
4142 Carmichael Road Suite B
Montgomery, AL 36106
United States
Phone
334-839-5070
(
Phone
)
Fax
334-839-5075
Billing Details
Address
4142 Carmichael Road
Suite B
Montgomery, AL 36106
Billing Phone
334-839-5070
Specialty Type
Physical Therapy
Website
Visit Website
Workers Comp Coordinator
Tammy
Williams
205-957-9945
williamst@therapysouth.net
Map
Address