Healthcare Provider Details

I. General information

NPI: 1700515475
Provider Name (Legal Business Name): MOLLY KATE CHEELEY DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MOLLY KATE DEMING

II. Dates (important events)

Enumeration Date: 06/08/2022
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 SPRINGVILLE STA STE 600
SPRINGVILLE AL
35146-6171
US

IV. Provider business mailing address

2823 GREYSTONE COMMERCIAL BLVD
HOOVER AL
35242-2660
US

V. Phone/Fax

Practice location:
  • Phone: 205-738-2210
  • Fax: 205-655-1264
Mailing address:
  • Phone: 205-745-3660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTH10843
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: