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NPI Code Detail

MEDICARE: DRAYER PHYSICAL THERAPY MISSISSIPPI LLC

MEDICARE: DRAYER PHYSICAL THERAPY MISSISSIPPI LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1801333521
Entity Type Code : Organization
Provider Name (Legal Business Name) : DRAYER PHYSICAL THERAPY MISSISSIPPI LLC
Provider Business Mailing Address
First Line : 2415 HIGHWAY 45 N
Second Line :
City : COLUMBUS
State : MS
Zip : 39705-1319
Country : US
Telephone Number : 662-327-6705
Fax Number : 662-327-6760
Provider Business Practice Location Address
First Line : 117 BO BO DRIVE
Second Line :
City : CRYSTAL SPRINGS
State : MS
Zip : 39059-2741
Country : US
Telephone Number : 601-892-6330
Fax Number : 601-892-6331
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : ERIC J WILLIAMS
Credential :
Telephone Number : 717-220-2100
Provider Enumeration Date : 01/20/2017
Last Update Date : 01/20/2017

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Directions to “DRAYER PHYSICAL THERAPY MISSISSIPPI LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.