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Search › Missouri › 235Z00000X

Carla Grundy

NPI 1972843456 · on the registry since 2013 · sole proprietor

Practice

Address
121 Park Rd
Saint Louis, MO 63119
Phone
(314) 452-4415
Organisation at this address
Carla Tellor Grundy
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 1701 Troost Ave # 1258, Kansas City, MO

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Also registered as
235Z00000X
235Z00000X
235Z00000X
235Z00000X
235Z00000X
235Z00000X
Licence states on file
FL, CA, IN, ME, MO, NC, IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-05-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri