# LIVINGSTON CO. R-III

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508180878
- **Authorized official:** SARA LITTRELL (PRINCIPAL)
- **Authorized official phone:** (660) 639-3135

## Contact information

- **Practice address:** 205 WAITE ST, CHULA, MO 64635-8273
- **Practice address phone:** (660) 639-3135
- **Practice address fax:** (660) 393-2171
- **Mailing address:** PO BOX 40, 205 WAITE STREET, CHULA, MO 64635-0040
- **Mailing address phone:** (660) 639-3135
- **Mailing address fax:** (660) 393-2171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 251300000X | Local Education Agency (LEA) | — | NULL | Yes |

## Other

- **Enumeration date:** 03/16/2010
- **Last updated:** 03/16/2010