Organization
BRECKENRIDGE R-I SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBRA MULLENIX (DISTRICT COORDINATOR)
(660) 644-5715
Entity
Organization
Contact information
Practice address
400 W COLFAX ST, BRECKENRIDGE, MO 64625-9608
(660) 544-5715
(660) 644-5710
Mailing address
400 W COLFAX ST, BRECKENRIDGE, MO 64625-9608
(660) 544-5715
(660) 644-5710
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506166305
—
MO
Enumeration date
02/06/2007
Last updated
07/11/2012
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