NPI 1093822280

Desoto Therapy, INC.

Organisation Exclusive Provider Organization Southaven, MS

Practice location

Address: 391 Southcrest Cir Suite 108, Southaven, MS 38671-6730
Phone: (662) 772-5925
Fax: (662) 772-5928

Authorised official

Name: Teresa Rippee
Title: Administrator
Phone: (901) 412-4516

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 897162 (MS)

Other Exclusive Provider Organization providers in Mississippi →

Registry record

NPI: 1093822280
Entity type: Organization
NPI issued: 24 Aug 2006
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.