Provider Demographics
NPI:1164603452
Name:STOUTLAND R 2 SCHOOL DISTRICT
Entity Type:Organization
Organization Name:STOUTLAND R 2 SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:LAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-286-3722
Mailing Address - Street 1:7584 STATE ROAD T
Mailing Address - Street 2:
Mailing Address - City:STOUTLAND
Mailing Address - State:MO
Mailing Address - Zip Code:65567-4236
Mailing Address - Country:US
Mailing Address - Phone:417-286-3722
Mailing Address - Fax:417-286-3153
Practice Address - Street 1:7584 STATE ROAD T
Practice Address - Street 2:
Practice Address - City:STOUTLAND
Practice Address - State:MO
Practice Address - Zip Code:65567-4236
Practice Address - Country:US
Practice Address - Phone:417-286-3722
Practice Address - Fax:417-286-3153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-15
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251300000XAgenciesLocal Education Agency (LEA)
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty