Healthcare Provider Details

I. General information

NPI: 1295859817
Provider Name (Legal Business Name): DAYTON INDEPENDENT SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 06/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 CLAY ST
DAYTON KY
41074-1257
US

IV. Provider business mailing address

200 CLAY ST
DAYTON KY
41074-1257
US

V. Phone/Fax

Practice location:
  • Phone: 859-292-3994
  • Fax:
Mailing address:
  • Phone: 859-292-3994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number00855
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberR0060
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number400782253
License Number StateKY
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number280568782
License Number StateKY
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number406-78-6040
License Number StateKY
# 6
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number231646608
License Number StateKY
# 7
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1585
License Number StateKY

VIII. Authorized Official

Name: NANCY JANE PRICE
Title or Position: DIRECTOR OF SPECIAL EDUCATION
Credential: MA
Phone: 859-292-3994