| Doctor Name: | TAYLOR STAUBLE |
| NPI Number: | 1558790675 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, RD, LD |
| License Number: | 2585 |
| Business Practice Address: | 8614 Old Bates Rd Louisville, KY - 402282504 |
| Business Phone Number: | 5023109894 |
| Business Fax Number: | |
| Mailing Address: | 1525 W Homer St, Ste 101 CHICAGO |
| State: | IL |
| Postal Code: | 606421280 |
| Phone Number: | 7732921940 |
| Fax Number: | |
| NPI Enumeration Date: | 11/08/2013 |
| NPI Last Update Date: | 03/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 2585 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| 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 |