Doctor Name: | ASHLEY TIX |
NPI Number: | 1235515362 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LD |
License Number: | 1078178 |
Business Practice Address: | 1655 Beam Ave Ste 302 Maplewood, MN - 551091477 |
Business Phone Number: | 6517262058 |
Business Fax Number: | |
Mailing Address: | 1655 Beam Ave Ste 302, MAPLEWOOD |
State: | MN |
Postal Code: | 551091477 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/30/2015 |
NPI Last Update Date: | 09/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1078178 |
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 |