Desoto Therapy, Inc.

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

897162 Issued in MS

Legal business name

DESOTO THERAPY, INC.

Practice address

391 Southcrest Cir
Suite 108
Southaven, MS 38671-6730

Phone

(662) 772-5925

Fax

(662) 772-5928

NPI assigned

Aug 24, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Teresa Rippee, RRT

Title

Administrator

Phone

(901) 412-4516

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093822280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 SOUTHCREST CIR",
            "address_2": "SUITE 108",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716730",
            "telephone_number": "662-772-5925",
            "fax_number": "662-772-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 SOUTHCREST CIR",
            "address_2": "SUITE 108",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716730",
            "telephone_number": "662-772-5925",
            "fax_number": "662-772-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESOTO THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RIPPEE",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "901-412-4516",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MS",
            "license": "897162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desoto Familycounseling Center
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• Desoto Osteopathic
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• Desoto Urgent Care Clinic, LLC
• Desoto Wellness Clinic LLC
• Desoto Womens Care Center, PLLC
• Kayla Desutter, SLP

• All providers in Southaven, MS
• Exclusive Provider Organization in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.