# CORNERSTONE REHABILITATION OF SOUTHAVEN

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

## Provider details

- **NPI number:** 1649719485
- **Authorized official:** MRS. THERESA H THOMPSON (OWNER/PRESIDENT)
- **Authorized official phone:** (662) 473-1667

## Contact information

- **Practice address:** 484 CHURCH RD E, SOUTHAVEN, MS 38671-9714
- **Practice address phone:** (662) 349-2489
- **Practice address fax:** (662) 349-2966
- **Mailing address:** 50 S MAIN ST, WATER VALLEY, MS 38965-2946
- **Mailing address phone:** (662) 473-1667
- **Mailing address fax:** (662) 473-2233

## Taxonomy

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

## Other

- **Enumeration date:** 02/13/2017
- **Last updated:** 02/13/2017