| Doctor Name: | TRACI J STAMATAKOS |
| NPI Number: | 1669650446 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD |
| License Number: | LP.10285-A |
| Business Practice Address: | 222 Piedmont Ave Cincinnati, OH - 452194231 |
| Business Phone Number: | 5134758523 |
| Business Fax Number: | 5134757327 |
| Mailing Address: | 2830 Victory Pkwy, Central Credentaling CINCINNATI |
| State: | OH |
| Postal Code: | 452061785 |
| Phone Number: | 5132453669 |
| Fax Number: | 5134757259 |
| NPI Enumeration Date: | 02/05/2008 |
| NPI Last Update Date: | 03/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | LP.10285-A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |