Healthcare Provider Details
I. General information
NPI: 1134792229
Provider Name (Legal Business Name): TURNER PHYSIOTHERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/19/2021
Last Update Date: 08/12/2021
Certification Date: 08/12/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1646 TOWN SQ SW
CULLMAN AL
35055-5263
US
IV. Provider business mailing address
8059 MITCHELL LN
VESTAVIA HILLS AL
35216-6821
US
V. Phone/Fax
- Phone: 256-887-4400
- Fax: 256-887-4401
- Phone: 205-607-0632
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
MICHELLE
E
SMITH
Title or Position: REVENUE CYCLE MANAGER
Credential:
Phone: 205-531-4200