Doctor Name: | MRS. TRACY MANN |
NPI Number: | 1124306667 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD, LD |
License Number: | LD.6533 |
Business Practice Address: | 1299 Olentangy River Rd Ste B Columbus, OH - 432123138 |
Business Phone Number: | 6142995838 |
Business Fax Number: | 6142995929 |
Mailing Address: | 5018 Cortez Psge, HILLIARD |
State: | OH |
Postal Code: | 430267132 |
Phone Number: | 6146643646 |
Fax Number: | 6147675311 |
NPI Enumeration Date: | 08/02/2011 |
NPI Last Update Date: | 01/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | LD.6533 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |