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TYRELL SCURLOCK
NPI 1104212018
Contractor in Saint Louis, MO

Active since April 08, 2015
11960 WESTLINE INDUSTRIAL DR, 201, SAINT LOUIS, MO 63146(314) 575-8163 Get Directions Write a Review

NPPES record last updated: April 8, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tyrell Scurlock NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYRELL SCURLOCK (NPI 1104212018) is an individual contractor provider in Saint Louis, Missouri, licensed in Missouri (2003020843) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1104212018
Entity TypeIndividualMale
Primary Taxonomy171W00000X
Provider Legal NameTYRELL SCURLOCK
Location Address11960 WESTLINE INDUSTRIAL DR, 201Saint Louis, MO 63146-3209
Mailing AddressPo Box 23331Saint Louis, MO 63156-3331 · (314) 575-8163
Phone(314) 575-8163
Sole ProprietorNo
Enumeration DateApril 8, 2015
✔ NPI 1104212018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
License✔ Licensed in MO · 2003020843
Definition

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 relation to a provider's employment status.

11960 WESTLINE INDUSTRIAL DR, Saint Louis, MO 63146
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEMETRICES CARTER JR. RRT
Respiratory Therapist, Registered (Critical Care)
11960 WESTLINE INDUSTRIAL DR
SAINT LOUIS, MO 63146
St. Louis County (314) 275-7444
ANDREA NOELL MOORE
Occupational Therapy Assistant
11960 WESTLINE INDUSTRIAL DR, SUITE 201
SAINT LOUIS, MO 63146
St. Louis County (314) 819-0480
DONNA BUCKLAND GALLEN OTR
Occupational Therapist
11960 WESTLINE INDUSTRIAL DR, SUITE 201
SAINT LOUIS, MO 63146
St. Louis County (314) 819-0480
MODENA JEAN MOLEN MA CCC SLP
Speech-Language Pathologist
11960 WESTLINE INDUSTRIAL DR, SUITE #201
SAINT LOUIS, MO 63146
St. Louis County (314) 819-0480
ERICA SPENCER M.S., SSP
Psychologist (School)
11960 WESTLINE INDUSTRIAL DR, SUITE 201
SAINT LOUIS, MO 63146
St. Louis County (314) 819-0480
MRS. LINDA LEE VIGGERS PTA
Physical Therapy Assistant
11960 WESTLINE INDUSTRIAL DR, SUITE 201
SAINT LOUIS, MO 63146
St. Louis County (866) 433-9555
MS. MIRIAM ALINE BRINLEY OTR/L
Occupational Therapist
11960 WESTLINE INDUSTRIAL DR, STE 201
SAINT LOUIS, MO 63146
St. Louis County (866) 433-9555
LYDIA GRACE BROWN CCC-SLP
Speech-Language Pathologist
11960 WESTLINE INDUSTRIAL DR, SUITE 201
SAINT LOUIS, MO 63146
St. Louis County (866) 433-9555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyrell Scurlock's NPI number?

The NPI number for Tyrell Scurlock is 1104212018. It was assigned to this individual provider in the NPPES registry on April 8, 2015.

Where is Tyrell Scurlock located?

Tyrell Scurlock practices at 11960 Westline Industrial Dr 201, Saint Louis, MO 63146. The listed phone number is (314) 575-8163.

What is Tyrell Scurlock's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Tyrell Scurlock was last updated on April 8, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.