Provider Demographics
NPI:1942254180
Name:PREMIER PYHSIOTHERAPY INC
Entity Type:Organization
Organization Name:PREMIER PYHSIOTHERAPY INC
Other - Org Name:THERAPY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO, PRACTICING THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:REYNOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:615-826-7113
Mailing Address - Street 1:639 E MAIN ST
Mailing Address - Street 2:STE 102
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-2646
Mailing Address - Country:US
Mailing Address - Phone:615-826-7113
Mailing Address - Fax:615-826-7139
Practice Address - Street 1:639 E MAIN ST
Practice Address - Street 2:STE 102
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-2646
Practice Address - Country:US
Practice Address - Phone:615-826-7113
Practice Address - Fax:615-826-7139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty