Doctor Name: | MARIANNE JOHNSON-KNECHT |
NPI Number: | 1316329469 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 808547 |
Business Practice Address: | 23500 Us Highway 160 Walsenburg, CO - 810899524 |
Business Phone Number: | 7197385100 |
Business Fax Number: | 7197385138 |
Mailing Address: | 23500 Us Highway 160, WALSENBURG |
State: | CO |
Postal Code: | 810899524 |
Phone Number: | 7197385100 |
Fax Number: | 7197385138 |
NPI Enumeration Date: | 06/25/2015 |
NPI Last Update Date: | 06/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 808547 |
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 |