# MAGIC CITY PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1912520115
- **Authorized official:** JENNIFER SELF SPENCER DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (205) 602-1848

## Contact information

- **Practice address:** 1217 WILLOW LEAF CIRCLE, BIRMINGHAM, AL 35244
- **Practice address phone:** (205) 602-1848
- **Mailing address:** 1217 WILLOW LEAF CIR, HOOVER, AL 35244-4131
- **Mailing address phone:** (205) 602-1848
- **Mailing address fax:** (205) 293-3895

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 251E00000X | Home Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 05/21/2020
- **Last updated:** 02/04/2025