Organization
BLACKWATER SCHOOL DIST R 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA BROWN (SUPERINTENDENT)
(660) 846-2461
Entity
Organization
Contact information
Practice address
300 DOODRIDGE, BLACKWATER, MO 65322-0117
(660) 846-2461
(660) 846-2431
Mailing address
PO BOX 117, 300 DOODRIDGE, BLACKWATER, MO 65322-0117
(660) 846-2461
(660) 846-2431
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
—
506261601
—
MO
Enumeration date
04/19/2007
Last updated
06/13/2016
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