Organization
PRIME PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOBY BREWER DPT (OWNER)
(931) 332-3541
Entity
Organization
Contact information
Practice address
321 DEXTER L WOODS MEMORIAL BLVD STE B, WAYNESBORO, TN 38485-2418
(931) 332-3541
Mailing address
2554 GROVE PARK WAY, COLUMBIA, TN 38401-1586
(931) 332-3541
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/07/2022
Last updated
02/02/2024
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