Organization
LINN COUNTY R 1 PUBLIC SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE HEAD (DIRECTOR OF SPECIAL SERVICES)
(660) 244-5035
Entity
Organization
Contact information
Practice address
15533 HWY KK, PURDIN, MO 64674-0130
(660) 244-5035
(660) 244-5025
Mailing address
PO BOX 130, 15533 HWY KK, PURDIN, MO 64674-0130
(660) 244-5035
(660) 244-5025
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
—
506077502
—
MO
Enumeration date
04/19/2007
Last updated
05/16/2011
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