Gabrielle Herod

Athletic Trainer · Black Jack, MO

Individual Active NPI

NPI number 1699355404

Practice location

5270 Springtrail Dr
Black Jack, MO 63033-4417
Phone
(314) 412-0545

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NPI record

NPI
1699355404
Entity type
Individual (Type 1)
Enumeration date
April 14, 2021
Last updated
April 14, 2021
Certified
April 14, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X — —

About Gabrielle Herod

Gabrielle Herod is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 5270 Springtrail Dr, Black Jack, MO 63033-4417. The NPI number 1699355404 was assigned on April 14, 2021 and the record was last updated on April 14, 2021.

Frequently asked questions

What is the NPI number of Gabrielle Herod?

The NPI number is 1699355404.

What is the phone number of Gabrielle Herod?

The phone number listed for the practice location is (314) 412-0545.

Where is Gabrielle Herod located?

5270 Springtrail Dr, Black Jack, MO 63033-4417.

What is the taxonomy code for Gabrielle Herod?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.