Healthcare Provider Details

I. General information

NPI: 1750826475
Provider Name (Legal Business Name): CARINITY THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2017
Last Update Date: 01/04/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1629 4TH AVE SE SUITE 120 D
DECATUR AL
35601-4900
US

IV. Provider business mailing address

1629 4TH AVE SE SUITE 120 D
DECATUR AL
35601-4900
US

V. Phone/Fax

Practice location:
  • Phone: 256-476-6546
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number2437
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number2437
License Number StateAL

VIII. Authorized Official

Name: MRS. ALMA F DAVIS
Title or Position: OWNER
Credential: MS, OTR/L
Phone: 256-476-6546