Doctor Name: | MARTHA KAY GRODRIAN |
NPI Number: | 1336403088 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LD, CDE, IBCLC |
License Number: | LD656 |
Business Practice Address: | 953 Gardner Rd Dayton, OH - 454294520 |
Business Phone Number: | 9372930553 |
Business Fax Number: | 9376412605 |
Mailing Address: | 953 Gardner Rd, DAYTON |
State: | OH |
Postal Code: | 454294520 |
Phone Number: | 9372930553 |
Fax Number: | 9376412605 |
NPI Enumeration Date: | 06/27/2012 |
NPI Last Update Date: | 06/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | LD656 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |