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NPI Code Detail

MEDICARE: ALAIA GO

MEDICARE: ALAIA GO
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
1225100000XPhysical TherapistPTH6452AL

General Provider Information

NPI Number : 1659744993
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAIA GO
Provider Business Mailing Address
First Line : 245 CAHABA VALLEY PKWY
Second Line : SUITE 200
City : PELHAM
State : AL
Zip : 35124-2216
Country : US
Telephone Number : 205-942-6820
Fax Number : 205-314-7222
Provider Business Practice Location Address
First Line : 2004 MAX LUTHER DR NW
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35810-3800
Country : US
Telephone Number : 256-852-9290
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2015
Last Update Date : 11/09/2015

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Directions to “ ALAIA GO ” Practice Location

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