Individual provider · Type 1 NPI
Jaquan Vassel, C.PED, BOCPD
Pedorthist · St. Louis, MO
NPI number
1093241564
Active
Practice location
7150 Natural Bridge Rd
St. Louis, MO 63121-5151
Fax (314) 381-6844
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pedorthist Primary | 224L00000X | CPED4300 (MO) |
Pedorthist: An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
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About NPI 1093241564
Jaquan Vassel, C.PED, BOCPD's National Provider Identifier is 1093241564, issued on May 3, 2017. The primary taxonomy on file is Pedorthist (224L00000X), and the practice location is in St. Louis, MO. The record was last updated on May 3, 2017.