# SPINE GROUP FYZICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fyzical Gardendale
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942008479
- **Authorized official:** MR. DUSTIN M CLARY PT (OWNER)
- **Authorized official phone:** (205) 349-9494

## Contact information

- **Practice address:** 835 ODUM RD STE 101, GARDENDALE, AL 35071-4111
- **Practice address phone:** (205) 285-8585
- **Practice address fax:** (205) 285-8686
- **Mailing address:** 198 MEDICAL CENTER DR, PRATTVILLE, AL 36066-7286
- **Mailing address phone:** (334) 313-8990
- **Mailing address fax:** (334) 730-0499

## Taxonomy

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

## Other

- **Enumeration date:** 03/03/2025
- **Last updated:** 03/03/2025