Jazmon Monique Carroll

Orthopedic Physical Therapist · Saint Louis, MO

Individual Active NPI

NPI number 1780140244

Practice location

3437 Caroline St
Saint Louis, MO 63104-1111
Phone
(314) 977-2570

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NPI record

NPI
1780140244
Entity type
Individual (Type 1)
Enumeration date
February 20, 2019
Last updated
July 27, 2022
Certified
July 27, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Orthopedic Physical Therapist Primary 2251X0800X PT-8045 ID
Athletic Trainer 2255A2300X — —

Mailing address

1404 S Yale Dr
O Fallon, IL 62269-2738

About Jazmon Carroll

Jazmon Monique Carroll is a healthcare provider registered in the NPI registry with the primary taxonomy Orthopedic Physical Therapist (code 2251X0800X). The practice location is 3437 Caroline St, Saint Louis, MO 63104-1111. The NPI number 1780140244 was assigned on February 20, 2019 and the record was last updated on July 27, 2022.

Jazmon Carroll lists a license in the registry: #PT-8045 (ID) for Orthopedic Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jazmon Monique Carroll?

The NPI number is 1780140244.

What is the phone number of Jazmon Carroll?

The phone number listed for the practice location is (314) 977-2570.

Where is Jazmon Carroll located?

3437 Caroline St, Saint Louis, MO 63104-1111.

What is the taxonomy code for Jazmon Carroll?

The primary taxonomy code is 2251X0800X – Orthopedic Physical Therapist; 1 more listed above.

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.

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