Premier Physical Therapy, LLC

NPI #1053523209 in Woodville, Mississippi

Provider Information

NPI Number: 1053523209
Entity Type: Organization
Organization Name: Premier Physical Therapy, LLC
Primary Specialty: Physical Therapist
Enumeration Date: May 3, 2007
Last Updated: Aug 11, 2023

Practice Location

Address: 558 1ST SOUTH ST
City: Woodville
State: Mississippi
ZIP Code: 39669-3777
Phone: (601) 888-7944

Authorized Official

Name: MR. GARY RUSSELL JOHNSON, PT
Title: OWNER
Phone: (601) 888-7944

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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MR. Gary Russell Johnson, PT	Physical Therapist	Woodville	AI Deep Dive
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MRS. Stacy L Warden, PT	Physical Therapist	Olive Branch	AI Deep Dive
MR. Michael G Fulton, P. T.	Physical Therapist	Oxford	AI Deep Dive
Allen Tyler Nance, P.T.	Physical Therapist	Gautier	AI Deep Dive

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