Organization
PREMIER PHYSICAL THERAPY OF SE TN
Active
Organization
PREMIER PHYSICAL THERAPY OF SE TN
Active
Other names
Polk Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA CLARY (OFFICE MANAGER/BILLING SPECIALIST)
(423) 464-4884
Entity
Organization
Contact information
Practice address
108 LIFESTYLE WAY STE 3, BENTON, TN 37307-3914
(423) 464-4884
(833) 333-1455
Mailing address
PO BOX 923, BENTON, TN 37307-0923
(423) 464-4884
(833) 333-1455
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
07/19/2022
Last updated
05/07/2025
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