IndividualActive
Donna Carrillo, MAT
NPI 1194168765 · Developmental Therapist · Ellisville, MO
Provider details
- NPI number
- 1194168765
- Entity type
- Individual
- Primary specialty
- Developmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MAT
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
15834 Clayton Rd.
Ellisville, MO 63011
Phone: (636) 227-2339
Fax: (636) 227-8711
Approximate (ZIP-level) locationGet directions
Mailing address
15834 Clayton Rd.
Ellisville, MO 63011
Registry dates
- Enumerated
- 2013-04-12
- Last updated
- 2013-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.