Doctor Name: | SUSAN K ROTTY |
NPI Number: | 1003878604 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 1761 |
Business Practice Address: | 8611 W Point Douglas Rd S Cottage Grove, MN - 550164005 |
Business Phone Number: | 6514581884 |
Business Fax Number: | |
Mailing Address: | Po Box 43, Mr 10809 MINNEAPOLIS |
State: | MN |
Postal Code: | 554400043 |
Phone Number: | 6122624813 |
Fax Number: | 6122624194 |
NPI Enumeration Date: | 04/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1761 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |