Organization
EXCELSIOR SPRINGS PUBLIC SCHOOLS 40
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAM ALLEN (ADMINISTRATIVE ASSISTANT)
(816) 630-9200
Entity
Organization
Contact information
Practice address
300 W BROADWAY ST, EXCELSIOR SPRINGS, MO 64024-2102
(816) 630-9200
(816) 630-9207
Mailing address
PO BOX 248, 100 N THOMPSON AVE, EXCELSIOR SPRINGS, MO 64024-0248
(816) 630-9200
(816) 630-9207
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
—
506075902
—
MO
Enumeration date
02/07/2007
Last updated
06/13/2016
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