# DRAYER PHYSICAL THERAPY - ALABAMA, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083183925
- **Authorized official:** LISA BENETTO (MANAGER OF PROVIDER & PAYOR ENROLLM)
- **Authorized official phone:** (423) 238-8923

## Contact information

- **Practice address:** 230 EAST ST N, TALLADEGA, AL 35160-2060
- **Practice address phone:** (256) 268-8594
- **Practice address fax:** (256) 268-8598
- **Mailing address:** 199 N BROOKMOORE DR, COLUMBUS, MS 39705-2024
- **Mailing address phone:** (662) 327-6705
- **Mailing address fax:** (662) 327-6760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/21/2018
- **Last updated:** 02/24/2020