Individual
KATIE MYROLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
663 COEUR DE ROYALE DR APT D, SAINT LOUIS, MO 63141-7043
(636) 299-0075
Mailing address
663 COEUR DE ROYALE DR APT D, SAINT LOUIS, MO 63141-7043
(636) 299-0075
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
86686
MO
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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