| Doctor Name: | ASHLEY SUZANNAH BRADSHAW |
| NPI Number: | 1265860274 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., R.D.,L.D.N |
| License Number: | 164.006035 |
| Business Practice Address: | 1045 N Hwy 121 Mt Zion, IL - 625491219 |
| Business Phone Number: | 2178642085 |
| Business Fax Number: | 2178642324 |
| Mailing Address: | 1045 N Hwy 121, MT ZION |
| State: | IL |
| Postal Code: | 625491219 |
| Phone Number: | 2178642085 |
| Fax Number: | 2178642324 |
| NPI Enumeration Date: | 10/30/2013 |
| NPI Last Update Date: | 10/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 164.006035 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| 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 |