Alabama Physical Rehabilitation Services Inc

Organization Active NPI Physical Therapist · Jacksonville, AL

NPI 1619935533 · NPPES record last updated May 28, 2013

Key facts

NPI
1619935533
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
License
R0803 (AL)
Legal business name
ALABAMA PHYSICAL REHABILITATION SERVICES INC
Practice address
1475 1St Ave SW
Jacksonville, AL 36265-3337
Phone
(256) 435-9386
Fax
(256) 435-2053
NPI assigned
May 2, 2006
Organization subpart
No

Authorized official

Name
Mr. Jerry L Klug, PT
Title
Owner/Administrator
Phone
(256) 435-9386

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225100000X R0803 AL Yes

Addresses

Primary practice location

1475 1St Ave SW
Jacksonville, AL 36265-3337

Mailing address

1475 1St Ave SW
Jacksonville, AL 36265-3337
Phone (256) 435-9386

Other identifiers

IdentifierTypeStateIssuer
529601780MedicaidAL

Other providers in Jacksonville, AL

All providers in Jacksonville, AL · Physical Therapist in Alabama

Sources for this page

Verify at the official NPI Registry.