Individual provider · Type 1 NPI

Heather Maria Stahl, C.O.T.A.

Local Education Agency (LEA) · Lacrosse, WI

NPI number 1578711149 Active

Practice location

2600 Ward St, Salucare
Lacrosse, WI 54601

Fax (608) 787-8211

Mailing address

891 W Pine Rd
Muscoda, WI 53573-9312

Specialties and licenses

TaxonomyCodeLicense
Local Education Agency (LEA) Primary 251300000X403-027 (WI)

Local Education Agency (LEA): The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in…

About NPI 1578711149

Heather Maria Stahl, C.O.T.A.'s National Provider Identifier is 1578711149, issued on Sep 8, 2008. The primary taxonomy on file is Local Education Agency (LEA) (251300000X), and the practice location is in Lacrosse, WI. The record was last updated on Aug 7, 2013.