Organization
RAYMORE-PECULIAR REORGANIZED SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE L MOORE (ADMINISTRATIVE ASSISTANT)
(816) 892-1352
Entity
Organization
Contact information
Practice address
21005 S SCHOOL ROAD, PECULIAR, MO 64078-0366
(816) 892-1352
(816) 892-1384
Mailing address
PO BOX 789, 21005 S SCHOOL ROAD, PECULIAR, MO 64078-0789
(816) 892-1352
(816) 892-1384
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
—
506079805
—
MO
Enumeration date
04/19/2007
Last updated
06/15/2016
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