# DESOTO THERAPY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093822280
- **Authorized official:** MS. TERESA RIPPEE RRT (ADMINISTRATOR)
- **Authorized official phone:** (901) 412-4516

## Contact information

- **Practice address:** 391 SOUTHCREST CIR, SUITE 108, SOUTHAVEN, MS 38671-6730
- **Practice address phone:** (662) 772-5925
- **Practice address fax:** (662) 772-5928
- **Mailing address:** 391 SOUTHCREST CIR, SUITE 108, SOUTHAVEN, MS 38671-6730
- **Mailing address phone:** (662) 772-5925
- **Mailing address fax:** (662) 772-5928

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 897162 | MS | Yes |

## Other

- **Enumeration date:** 08/24/2006
- **Last updated:** 07/21/2022