| Organization Name: | TINY TOTS NUTRITION THERAPY LLC |
| NPI Number: | 1467690099 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CYNTHIA D. KEDZIERSKI (REGISTERED DIETITIAN) |
| Mailing Address: | 16406 S Westwood Dr Lockport |
| State: | IL US |
| Postal Code: | 604417666 |
| Phone Number: | 8159190312 |
| Fax Number: | 8153057403 |
| NPI Enumeration Date: | 02/04/2009 |
| NPI Last Update Date: | 03/02/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 164003138 |
| 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 |