| Park South Physical Therapy, P.c. | |
|
33310 Us Highway 280, Childersburg, AL 35044-3121 | |
| (256) 378-3390 | |
| (256) 378-3391 |
| Full Name | Park South Physical Therapy, P.c. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 33310 Us Highway 280, Childersburg, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366598179 | NPI | - | NPPES |
| PTH288 | Other | AL | PT LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 288 (Alabama) | Primary |
| Provider Name | Krystal C Fielding |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558454561 PECOS PAC ID: 9133264740 Enrollment ID: I20100308000419 |
| Provider Name | Edward Crowder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255389128 PECOS PAC ID: 6608822747 Enrollment ID: I20111108000305 |
| Mailing Address | Practice Location Address |
|---|---|
| Park South Physical Therapy, P.c. 33310 Us Highway 280, Childersburg, AL 35044-3121 Ph: (256) 378-3390 | Park South Physical Therapy, P.c. 33310 Us Highway 280, Childersburg, AL 35044-3121 Ph: (256) 378-3390 |
Mr. Edward D Crowder, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 33310 Us Highway 280, Childersburg, AL 35044 Phone: 256-378-3390 | |
Ms. Margaret B Crowder, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 33310 Us Highway 280, Childersburg, AL 35044 Phone: 256-378-3390 |