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General NPI Number Information
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NPI Number | 1427191485
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Entity Type | Organization
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Legal Business Name | CITY OF RENICK REORGANIZED SCH
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 06/15/2016
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Provider Practice Location Address
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Address Line | 101 MIDDLE STREET
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City | RENICK
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State | MO
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Zip | 65278
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Country | US
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Telephone | 660-263-4886
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Fax | 660-263-4249
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Provider Business Mailing Address
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Address Line | PO BOX 37 BUS HWY 63 SOUTH
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City | RENICK
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State | MO
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Zip | 65278-0037
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Country | US
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Telephone | 660-263-4886
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Fax | 660-263-4249
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | DR. TARA LEWIS
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Credential |
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Telephone | 660-263-4886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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