Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tyrell Scurlock

Individual provider Contractor · NPI 1104212018

Tyrell Scurlock is a Contractor in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2015.

Licensed in
MO
In the registry since
2015

Practice location Address checks out

11960 Westline Industrial Dr 201
Saint Louis, MO 63146-3209
Phone: (314) 575-8163
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence 2003020843 (MO)

Record details

NPI number1104212018
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 8, 2015
Last updated in NPPESApril 8, 2015
Mailing addressPo Box 23331, Saint Louis, MO 63156-3331

Other providers in Saint Louis