# MANDEVILLE PHYSICAL THERAPY & WELLNESS, INC

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

## Provider details

- **NPI number:** 1477859601
- **Authorized official:** MATT MANDEVILLE PT (OWNER)
- **Authorized official phone:** (256) 679-6641

## Contact information

- **Practice address:** 8300 WHITESBURG DR SE, SUITE A, HUNTSVILLE, AL 35802-3008
- **Practice address phone:** (256) 679-6642
- **Practice address fax:** (256) 883-1533
- **Mailing address:** 8300 WHITESBURG DR SW STE A, HUNTSVILLE, AL 35802-3064
- **Mailing address phone:** (256) 679-6642
- **Mailing address fax:** (256) 270-9923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PTH3087 | AL | Yes |

## Other

- **Enumeration date:** 02/05/2011
- **Last updated:** 01/22/2026