MEDICARE: MOLLY ANN TRICE DPT, PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PTH11692	AL

General Provider Information

NPI Number	:	1659140689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOLLY ANN TRICE DPT, PT

Provider Business Mailing Address
First Line	:	8059 MITCHELL LN
Second Line	:
City	:	VESTAVIA HILLS
State	:	AL
Zip	:	35216-6821
Country	:	US
Telephone Number	:	256-887-4400
Fax Number	:	256-887-4401

Provider Business Practice Location Address
First Line	:	758 MAIN ST STE 120
Second Line	:
City	:	GARDENDALE
State	:	AL
Zip	:	35071-3021
Country	:	US
Telephone Number	:	205-285-9992
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2024
Last Update Date	:	01/24/2026

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Directions to “ MOLLY ANN TRICE DPT, PT” Practice Location

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