# THERAPY SOUTH LLC FULTONDALE

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

## Provider details

- **NPI number:** 1346424769
- **Authorized official:** JENNIFER HAYES (DIRECTOR ENROLLMENT)
- **Authorized official phone:** (205) 745-3651

## Contact information

- **Practice address:** 3471 LOWERY PKWY, SUITE 107, FULTONDALE, AL 35068-1680
- **Practice address phone:** (205) 849-6566
- **Practice address fax:** (205) 849-6563
- **Mailing address:** 2807 GREYSTONE COMMERCIAL BLVD, SUITE 34, BIRMINGHAM, AL 35242-9600
- **Mailing address phone:** (205) 745-3660
- **Mailing address fax:** (205) 408-4209

## Taxonomy

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

## Other

- **Enumeration date:** 12/20/2007
- **Last updated:** 07/23/2014