Organization
SCHOOL DIST R5 HOLLISTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA PHILLIPS (ADMINISTRATIVE ASSISTANT)
(417) 243-4026
Entity
Organization
Contact information
Practice address
1798 STATE HIGHWAY BB, HOLLISTER, MO 65672-5423
(417) 332-0130
(417) 334-2663
Mailing address
1798 STATE HIGHWAY BB, HOLLISTER, MO 65672-5423
(417) 332-0130
(417) 334-2663
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
—
506188002
—
MO
Enumeration date
04/18/2007
Last updated
06/14/2016
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