# DRAYER PHYSICAL THERAPY MISSISSIPPI LLC

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

## Provider details

- **NPI number:** 1366989089
- **Authorized official:** ERIC J WILLIAMS (PRESIDENT AND CEO)
- **Authorized official phone:** (717) 220-2100

## Contact information

- **Practice address:** 412A BATTLEGROUND DRIVE, IUKA, MS 38852-1309
- **Practice address phone:** (662) 593-3111
- **Practice address fax:** (662) 593-3151
- **Mailing address:** 2416 HIGHWAY 45 N, COLUMBUS, MS 39705-1320
- **Mailing address phone:** (662) 327-6705
- **Mailing address fax:** (662) 327-6760

## Taxonomy

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

## Other

- **Enumeration date:** 01/20/2017
- **Last updated:** 01/20/2017