Doctor Name: | RACHELLE JOHNSON |
NPI Number: | 1225369366 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D |
License Number: | 2004023246 |
Business Practice Address: | 1200 E Marshall St Charleston, MO - 638341336 |
Business Phone Number: | 5736832191 |
Business Fax Number: | 5736836539 |
Mailing Address: | 1200 E Marshall St, CHARLESTON |
State: | MO |
Postal Code: | 638341336 |
Phone Number: | 5736832191 |
Fax Number: | 5736836539 |
NPI Enumeration Date: | 01/28/2010 |
NPI Last Update Date: | 01/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 2004023246 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |