Cedar Creek Therapeutic Riding Center

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

OC1064 Issued in MO

Legal business name

CEDAR CREEK THERAPEUTIC RIDING CENTER

Practice address

4895 E Highway 163
Columbia, MO 65201-9284

Phone

(573) 875-8556

NPI assigned

Aug 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Karen Anne Grindler

Title

Executive Director

Phone

(573) 875-8556

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1477745677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4895 E HIGHWAY 163",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652019284",
            "telephone_number": "573-875-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4895 E HIGHWAY 163",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652019284",
            "telephone_number": "573-875-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR CREEK THERAPEUTIC RIDING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "GRINDLER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "573-875-8556"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MO",
            "license": "OC1064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Columbia, MO
• Providers in Columbia, MO by specialty
• Point of Service in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.