JAQUAN VASSEL C.PED BOCPD NPI 1093241564

NPI Information

  • NPI: 1093241564
  • Provider Name: JAQUAN VASSEL, C.PED, BOCPD
  • Classification: Pedorthist - 224L00000X
  • Entity Type: Individual
  • Address: 7150 NATURAL BRIDGE RD
    SAINT LOUIS, MO
    ZIP 63121
  • Phone: (314) 381-8600

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NPI Details

Jaquan Vassel, C.PED, BOCPD is a pedorthist in Saint Louis, MO. The provider is an individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. Jaquan Vassel, C.PED, BOCPD NPI is 1093241564. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7150 NATURAL BRIDGE RD
SAINT LOUIS, MO
ZIP 63121-151
Phone: (314) 381-8600
Fax: (314) 381-6844

The enumeration date for this NPI number is 5/3/2017 and was last updated on 5/3/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1224L00000XPedorthistCPED4300MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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