Healthcare Provider Details

I. General information

NPI: 1508428111
Provider Name (Legal Business Name): WARRIOR REHAB AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2019
Last Update Date: 10/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1189 ALLBRITTON RD
WARRIOR AL
35180-2663
US

IV. Provider business mailing address

323 LA PRADO CIR
HOMEWOOD AL
35209-2047
US

V. Phone/Fax

Practice location:
  • Phone: 205-478-4418
  • Fax:
Mailing address:
  • Phone: 205-478-4418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. DONALD LEA SMITH JR.
Title or Position: PHYSICAL THERAPIST
Credential: DPT
Phone: 205-478-4418