# PRIMARY THERAPY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912310533
- **Authorized official:** ERNEST EDWARD DISMUKE JR. OTR/L (CEO)
- **Authorized official phone:** (615) 594-1075

## Contact information

- **Practice address:** 601 WOODHAVEN DRIVE, SMYRNA, TN 37167
- **Practice address phone:** (615) 594-1075
- **Practice address fax:** (615) 220-2358
- **Mailing address:** 601 WOODHAVEN DR, SMYRNA, TN 37167-4179
- **Mailing address phone:** (615) 594-1075
- **Mailing address fax:** (615) 220-2358

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 3072 | TN | Yes |

## Other

- **Enumeration date:** 06/11/2014
- **Last updated:** 06/11/2014