Individual
MICHAEL DEWAYNE RAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
301 2ND ST SE, MAGEE, MS 39111-3625
(601) 849-9882
(601) 849-9871
Mailing address
301 2ND ST SE, MAGEE, MS 39111-3625
(601) 849-9882
(601) 849-9871
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA3532
MS
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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