Organization
THERASPORT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MINDI MEADOWS PT, DPT, MS, ATC (CEO)
(256) 638-1150
Entity
Organization
Contact information
Practice address
598 MAIN ST E, RAINSVILLE, AL 35986-4541
(256) 638-1150
(256) 638-1158
Mailing address
PO BOX 1966, RAINSVILLE, AL 35986-1966
(256) 638-1150
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
PTH3371
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51514927
BLUE CROSS BLUS SHIELD
AL
Enumeration date
11/13/2007
Last updated
01/27/2025
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