| Premier Physical Therapy Of Se Tn | |
|
108 Lifestyle Way Ste 3, Benton, TN 37307-3914 | |
| (423) 464-4884 | |
| (833) 333-1455 |
| Full Name | Premier Physical Therapy Of Se Tn |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 108 Lifestyle Way Ste 3, 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 |
|---|---|---|---|
| 1629703210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| Provider Name | Bryan C Clary |
|---|---|
| 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 |
|---|---|
| Premier Physical Therapy Of Se Tn Po Box 923, Benton, TN 37307-0923 Ph: (423) 464-4884 | Premier Physical Therapy Of Se Tn 108 Lifestyle Way Ste 3, Benton, TN 37307-3914 Ph: (423) 464-4884 |
Bryan Curtis Clary, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 108 Lifestyle Way Ste 3, Benton, TN 37307 Phone: 423-464-4884 Fax: 833-333-1455 | |
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 | |
Bailey Wood, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 108 Lifestyle Way Ste 3, Benton, TN 37307 Phone: 423-464-4884 Fax: 833-333-1455 |