Individual
PRESTON DESHAWN RATIFF III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1015 LEE DR, SUITE 1 B, CLARKSDALE, MS 38614-3698
(662) 624-2466
(662) 624-4876
Mailing address
151 CHERRY ST, APT. 3-D, CLARKSDALE, MS 38614-4141
(662) 374-1686
(662) 624-4876
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4017
MS
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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