Individual provider · Type 1 NPI

Tyrell Scurlock

Contractor · St. Louis, MO

NPI number 1104212018 Active

Practice location

11960 Westline Industrial Dr, 201
St. Louis, MO 63146-3209

Call (314) 575-8163 Map

Mailing address

PO Box 23331
St. Louis, MO 63156-3331

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000X2003020843 (MO)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1104212018

Tyrell Scurlock's National Provider Identifier is 1104212018, issued on Apr 8, 2015. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in St. Louis, MO. The record was last updated on Apr 8, 2015.