# CANNON COUNTY BOARD OF EDUCATION

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

## Provider details

- **NPI number:** 1912364936
- **Authorized official:** PAMELA PARKER (DISTRICT SIGNEE)
- **Authorized official phone:** (615) 563-5752

## Contact information

- **Practice address:** 301 W MAIN ST, WOODBURY, TN 37190-1100
- **Practice address phone:** (423) 622-1551
- **Practice address fax:** (877) 856-7133
- **Mailing address:** PO BOX 8114, CHATTANOOGA, TN 37414-0114
- **Mailing address phone:** (423) 622-1551
- **Mailing address fax:** (877) 856-7133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 251300000X | Local Education Agency (LEA) | — | NULL | Yes |

## Other

- **Enumeration date:** 01/21/2016
- **Last updated:** 06/29/2017