David Shane Prather

NPI #1063735389 in Hazlehurst, Mississippi

Provider Information

NPI Number: 1063735389
Entity Type: Individual
Name: David Shane Prather
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Mar 2, 2010
Last Updated: Mar 2, 2010

Practice Location

Address: 133 PINE ST
City: Hazlehurst
State: Mississippi
ZIP Code: 39083-2309
Phone: (601) 894-1411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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