Gabrielle Herod
Gabrielle Herod is an Athletic Trainer in Black Jack, Missouri. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
5270 Springtrail DrBlack Jack, MO 63033-4417
Phone: (314) 412-0545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1699355404 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 14, 2021 |
| Last updated in NPPES | April 14, 2021 |
| Certification date | April 14, 2021 |
| Mailing address | 5270 Springtrail Dr, Black Jack, MO 63033-4417 |