# DRAYER PHYSICAL THERAPY INSTITUTE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tupelo Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033455860
- **Authorized official:** LUKE A DRAYER (CHAIRMAN & CEO)
- **Authorized official phone:** (717) 220-2100

## Contact information

- **Practice address:** 1743 CLIFF GOOKIN BLVD, TUPELO, MS 38801-6723
- **Practice address phone:** (662) 680-5216
- **Mailing address:** 1743 CLIFF GOOKIN BLVD, TUPELO, MS 38801-6723
- **Mailing address phone:** (662) 680-5216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 12/26/2012
- **Last updated:** 12/26/2012