| Doctor Name: | MRS. RACHEL ANN MATUSIAK |
| NPI Number: | 1306075213 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., R.D., L.D. |
| License Number: | 2009011646 |
| Business Practice Address: | 3009 N Ballas Rd Suite #228a Saint Louis, MO - 631312322 |
| Business Phone Number: | 3149964131 |
| Business Fax Number: | |
| Mailing Address: | 5464 Woodrow Hill Rd, HOUSE SPRINGS |
| State: | MO |
| Postal Code: | 630512407 |
| Phone Number: | 5739867740 |
| Fax Number: | |
| NPI Enumeration Date: | 07/13/2009 |
| NPI Last Update Date: | 01/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 2009011646 |
| 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 |