Organization
REFINE PT AND PERFORMANCE - NORTH ALABAMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE THIBODEAUX (OWNER)
(256) 227-9464
Entity
Organization
Contact information
Practice address
1111 KNIGHT ST SE, DECATUR, AL 35601-6501
(256) 973-1552
(256) 973-1553
Mailing address
1111 KNIGHT ST SE, DECATUR, AL 35601-6501
(256) 973-1552
(256) 973-1553
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/30/2021
Last updated
11/26/2024
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