Organization
CLEARWATER R-1 SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY J JENKINS (DIRECTOR OF SPECIAL SERVICES)
(573) 223-4812
Entity
Organization
Contact information
Practice address
825 N MAIN ST, PIEDMONT, MO 63957-1222
(573) 223-4812
(573) 223-7820
Mailing address
825 N MAIN ST, PIEDMONT, MO 63957-1222
(573) 223-4812
(573) 223-7820
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
—
506074202
—
MO
Enumeration date
04/18/2007
Last updated
06/13/2016
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