Michael Dewayne Raines, PTA

NPI #1295927713 in Magee, Mississippi

Provider Information

NPI Number
1295927713
Entity Type
Individual
Name
Michael Dewayne Raines, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Aug 17, 2007
Last Updated
Aug 17, 2007

Practice Location

Address
301 2ND ST SE
City
Magee
ZIP Code
39111-3625
Phone
(601) 849-9882

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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