| Doctor Name: | TWYLA J ASP |
| NPI Number: | 1356377386 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CDE |
| License Number: | R147001-1 |
| Business Practice Address: | 1720 Highway 59 S Thief River Falls, MN - 567014331 |
| Business Phone Number: | 2186814747 |
| Business Fax Number: | 2186832595 |
| Mailing Address: | 1720 Highway 59 S, THIEF RIVER FALLS |
| State: | MN |
| Postal Code: | 567014331 |
| Phone Number: | 2186814747 |
| Fax Number: | 2186832595 |
| NPI Enumeration Date: | 06/23/2006 |
| NPI Last Update Date: | 12/31/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133NN1002X |
| License Number: | R147001-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Nutritionist |
| Taxonomy Specialization: | Nutrition, Education |
| Taxonomy Definition: | |