Organization
LEGACY PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN GARY STINNETT LPTA (MANAGER / PTA)
(256) 325-2130
Entity
Organization
Contact information
Practice address
3825 SULLIVAN STREET, SUITE 2, MADISON, AL 35747-3147
(256) 325-2130
(256) 325-2142
Mailing address
3825 SULLIVAN STREET, SUITE 2, MADISON, AL 35749-3147
(256) 325-2130
(256) 325-2142
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PTA5605
AL
261QP2000X
Physical Therapy Clinic/Center
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Other
Enumeration date
05/31/2018
Last updated
07/30/2019
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