Healthcare Provider Details

I. General information

NPI: 1568291664
Provider Name (Legal Business Name): THERAPY SOUTH - ALABASTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2024
Last Update Date: 07/29/2024
Certification Date: 07/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9200 HIGHWAY 119 STE 200
ALABASTER AL
35007-5345
US

IV. Provider business mailing address

2823 GREYSTONE COMMERCIAL BLVD
HOOVER AL
35242-2660
US

V. Phone/Fax

Practice location:
  • Phone: 205-608-9950
  • Fax:
Mailing address:
  • Phone: 205-745-3660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DOUGLAS COLE
Title or Position: PRESIDENT
Credential:
Phone: 205-745-3660