Organization
AVENUE CITY R-IX SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY LEO ARCHER (SUPERINTENDENT)
(816) 662-2305
Entity
Organization
Contact information
Practice address
18069 HWY 169, COSBY, MO 64436-8115
(816) 662-2305
(816) 662-3201
Mailing address
18069 HWY 169, P.O. BOX 295, COSY, MO 64436-8115
(816) 662-2305
(816) 662-3201
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/08/2007
Last updated
09/11/2025
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