Kevin Sodachanh, DPT | |
41 Eminence Way Ste B, Pell City, AL 35128-2339 | |
(205) 813-6009 | |
(205) 289-2449 |
Full Name | Kevin Sodachanh |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 41 Eminence Way Ste B, Pell City, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215619176 | NPI | - | NPPES |
0446631 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (Alabama) | Secondary |
225100000X | Physical Therapist | 15195 (Tennessee) | Primary |
Provider Name | Ati Holdings Of Alabama Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1063952646 PECOS PAC ID: 2769756436 Enrollment ID: O20170919001462 |
Mailing Address | Practice Location Address |
---|---|
Kevin Sodachanh, DPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Kevin Sodachanh, DPT 41 Eminence Way Ste B, Pell City, AL 35128-2339 Ph: (205) 813-6009 |
Zachary Forrest Mayhew, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 85 Plaza Dr, Pell City, AL 35125 Phone: 205-338-6106 | |
Cade Mullins, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 85 Plaza Dr, Pell City, AL 35125 Phone: 205-338-6106 | |
Tyler Mcgrady, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 85 Plaza Dr, Pell City, AL 35125 Phone: 205-338-6106 | |
Douglas Edwin Cole, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 85 Plaza Drive, Pell City, AL 35125 Phone: 205-338-6106 Fax: 205-814-9180 | |
Eliot Reissman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 85 Plaza Dr, Pell City, AL 35125 Phone: 205-338-6106 | |
Hannah Davis, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 85 Plaza Dr, Pell City, AL 35125 Phone: 205-338-6106 |