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Organization

SIXFOURTHREE, LLC

Active
Other names
Tradition Physical Therapy, Fairhope Physical Therapy Services, Johnson and Hayes Physical Therapists
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SCOTT T HAYES (OWNER)
(256) 883-1970
Entity
Organization

Contact information

Practice address
4240 BALMORAL DR SW STE 100, HUNTSVILLE, AL 35801-5633
(256) 883-1970
(256) 883-8061
Mailing address
PO BOX 18863, HUNTSVILLE, AL 35804-8863
(256) 883-1970
(256) 883-1336

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
J163
MEDICARE GROUP ID
AL
01
K587
MEDICARE GROUP ID
AL
Enumeration date
06/20/2006
Last updated
11/11/2025
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