Doctor Name: | PRESTON DESHAWN RATIFF |
NPI Number: | 1245330430 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT4017 |
Business Practice Address: | 1015 Lee Dr Suite 1 B Clarksdale, MS - 386143698 |
Business Phone Number: | 6626242466 |
Business Fax Number: | 6626244876 |
Mailing Address: | 151 Cherry St, Apt. 3-d CLARKSDALE |
State: | MS |
Postal Code: | 386144141 |
Phone Number: | 6623741686 |
Fax Number: | 6626244876 |
NPI Enumeration Date: | 09/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT4017 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |