Provider Demographics
NPI:1659140689
Name:TRICE, MOLLY ANN (DPT, PT)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:ANN
Last Name:TRICE
Suffix:
Gender:F
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8059 MITCHELL LN
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-6821
Mailing Address - Country:US
Mailing Address - Phone:256-887-4400
Mailing Address - Fax:256-887-4401
Practice Address - Street 1:1646 TOWN SQ SW
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055-5263
Practice Address - Country:US
Practice Address - Phone:256-887-4400
Practice Address - Fax:256-887-4401
Is Sole Proprietor?:No
Enumeration Date:2024-01-02
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH11692225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist