Organization
DESOTO THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA RIPPEE RRT (ADMINISTRATOR)
(901) 412-4516
Entity
Organization
Contact information
Practice address
391 SOUTHCREST CIR, SUITE 108, SOUTHAVEN, MS 38671-6730
(662) 772-5925
(662) 772-5928
Mailing address
391 SOUTHCREST CIR, SUITE 108, SOUTHAVEN, MS 38671-6730
(662) 772-5925
(662) 772-5928
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
897162
MS
Other
Enumeration date
08/24/2006
Last updated
07/21/2022
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