Premier Physical Therapy Of Se Tn | |
1843 Highway 64, Benton, TN 37307 | |
(865) 659-6130 | |
Not Available |
Full Name | Premier Physical Therapy Of Se Tn |
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Type | Facility |
Speciality | Physical Therapist |
Location | 1843 Highway 64, Benton, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1629703210 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Bryan C Clary |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1003137308 PECOS PAC ID: 4981882248 Enrollment ID: I20110711000309 |
Mailing Address | Practice Location Address |
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Premier Physical Therapy Of Se Tn 1843 Highway 64, Benton, TN 37307 Ph: () - | Premier Physical Therapy Of Se Tn 1843 Highway 64, Benton, TN 37307 Ph: (865) 659-6130 |
Pathmavathi S Pentiah, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 108 Lifestyle Way, Benton, TN 37307 Phone: 423-339-2320 Fax: 423-339-2321 | |
Joseph Matthew Gager, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 217 Ward St, Benton, TN 37307 Phone: 423-338-8088 Fax: 423-338-8188 | |
Joseph Matthew Gager Physical Therapist Medicare: Medicare Enrolled Practice Location: 217 Ward St, Benton, TN 37307 Phone: 423-310-1642 |