# SHANNON COUNTY SCHOOLS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063652477
- **Authorized official:** MRS. MADONNA PETERSON (BUSINESS MANAGER)
- **Authorized official phone:** (605) 288-1921

## Contact information

- **Practice address:** 206 SCHOOL ST., BATESLAND, SD 57716-0109
- **Practice address phone:** (605) 288-1921
- **Practice address fax:** (605) 288-1814
- **Mailing address:** PO BOX 109, BATESLAND, SD 57716-0109
- **Mailing address phone:** (605) 288-1921
- **Mailing address fax:** (605) 288-1814

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 02/25/2009
- **Last updated:** 02/25/2009