Provider Demographics
NPI:1386813939
Name:JOST, CARRIE LYNN (MS, OTR/L)
Entity Type:Individual
Prefix:MISS
First Name:CARRIE
Middle Name:LYNN
Last Name:JOST
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 OLD BUGGY CT
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63304-2814
Mailing Address - Country:US
Mailing Address - Phone:636-466-2524
Mailing Address - Fax:
Practice Address - Street 1:151 OLD BUGGY CT
Practice Address - Street 2:
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63304-2814
Practice Address - Country:US
Practice Address - Phone:636-466-2524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-28
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008005863225XP0200X
225XH1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225XH1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHuman Factors