Doctor Name: | MRS. KATHY JO SHATTLER |
NPI Number: | 1306243753 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 00710393 |
Business Practice Address: | 5550 Mall Dr W # 1108 Lansing, MI - 489173252 |
Business Phone Number: | 5175744767 |
Business Fax Number: | |
Mailing Address: | 5550 Mall Dr W, # 1108 LANSING |
State: | MI |
Postal Code: | 489173252 |
Phone Number: | 5175744767 |
Fax Number: | |
NPI Enumeration Date: | 12/01/2014 |
NPI Last Update Date: | 12/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 00710393 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |