Basic Information
| Provider Information | |||||||||
| NPI: | 1245798768 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NEIHOFF | ||||||||
| FirstName: | ALEX | ||||||||
| MiddleName: | CHRISTOPHER | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1200 CORPORATE DR STE 300 | ||||||||
| Address2: | |||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352422944 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4232387217 | ||||||||
| FaxNumber: | 4232383473 | ||||||||
| Practice Location | |||||||||
| Address1: | 301 RICHARD WILKS RD STE 1300 | ||||||||
| Address2: | |||||||||
| City: | WHITE HOUSE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 371889367 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6156724966 | ||||||||
| FaxNumber: | 6156724968 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/04/2019 | ||||||||
| LastUpdateDate: | 01/15/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/15/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 12091 | TN | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.