Organization
SHANNON COUNTY SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MADONNA PETERSON (BUSINESS MANAGER)
(605) 288-1921
Entity
Organization
Contact information
Practice address
206 SCHOOL ST., BATESLAND, SD 57716-0109
(605) 288-1921
(605) 288-1814
Mailing address
PO BOX 109, BATESLAND, SD 57716-0109
(605) 288-1921
(605) 288-1814
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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