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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HEATHER COLLEEN CARROLL, ATC

Active Sole Proprietor

HEATHER COLLEEN CARROLL, ATC is a Athletic Trainer healthcare provider located in BRENTWOOD, Missouri. NPI 1689071367 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · BRENTWOOD, MO

Registration Details

NPI Number
1689071367
Provider Type
Individual
Gender
Female
NPI Issued
Nov 25, 2014 (11.71897587781 yrs)
Last Updated
Nov 25, 2014
License
2008021131 (MO)
Sole Proprietor
Yes

Practice Information

Address
2937 S BRENTWOOD BLVD
BRENTWOOD, MO, 631442713
Browse MO providers · Browse ZIP 63144
Phone
3149613804
Primary Specialty
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.