NPI 1689071367

Heather Colleen Carroll, ATC

Practitioner Athletic Trainer Brentwood, MO

Practice location

Address: 2937 S Brentwood Blvd, Brentwood, MO 63144-2713
Phone: (314) 961-3804
Mailing address: 7331 Zephyr Pl 2e, Maplewood, MO 63143-2221

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2008021131 (MO)

Other Specialist/Technologist providers in Missouri →

Registry record

NPI: 1689071367
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Nov 2014
Record last updated: 25 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.