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Organization
SNAKE RIVER SCHOOL DISTRICT 52
Active
Organization
SNAKE RIVER SCHOOL DISTRICT 52
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL K HAMMOND DIRECTOR OF SPECIAL (SUPERINTENDENT OF SNAKE RIVER SCHOO)
(208) 684-3001
Entity
Organization
Contact information
Practice address
918 WEST HIGHWAY 39, BLACKFOOT, ID 83221-6065
(208) 684-3018
(208) 684-3047
Mailing address
103 SOUTH 900 WEST, BLACKFOOT, ID 83221-6065
(208) 684-3001
(208) 684-3003
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
—
—
222Q00000X
Developmental Therapist
—
—
225100000X
Physical Therapist
—
—
225400000X
Rehabilitation Practitioner
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
347B00000X
Bus
Primary
—
—
Other
Enumeration date
04/26/2007
Last updated
09/11/2025
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