Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Premier Physical Therapy of SE Tn

Organization Physical Therapist · NPI 1629703210

Premier Physical Therapy of SE Tn is a Physical Therapist in Benton, Tennessee. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

108 Lifestyle Way Ste 3
Benton, TN 37307-3914
Phone: (423) 464-4884
Fax: (833) 333-1455
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Physical Therapy Clinic/Center Taxonomy 261QP2000X

Record details

NPI number1629703210
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melissa Clary — Office Manager/Billing Specialist · (423) 464-4884
Other names Polk Physical Therapy
NPI enumeratedJuly 19, 2022
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025
Mailing addressPo Box 923, Benton, TN 37307-0923

Other providers in Benton