Healthcare Provider Details

I. General information

NPI: 1730360397
Provider Name (Legal Business Name): REEDSVILLE SCHOOL DITRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2007
Last Update Date: 11/23/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 PARK STREET
REEDSVILLE WI
54230
US

IV. Provider business mailing address

350 SOUTH PARK STREET
REEDSVILLE WI
54230
US

V. Phone/Fax

Practice location:
  • Phone: 920-754-4345
  • Fax: 920-754-4577
Mailing address:
  • Phone: 920-754-4345
  • Fax: 920-754-4577

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: MRS. TARA JANE TADDY
Title or Position: ADMIN SECRETARY
Credential:
Phone: 920-754-4345