Doctor Name: | JOY HARTLAGE |
NPI Number: | 1679978928 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | KY-0512 |
Business Practice Address: | 200 Juneau Dr Louisville, KY - 402432548 |
Business Phone Number: | 5022451074 |
Business Fax Number: | |
Mailing Address: | 400 E Gray St, LOUISVILLE |
State: | KY |
Postal Code: | 402021740 |
Phone Number: | 5025746580 |
Fax Number: | |
NPI Enumeration Date: | 10/29/2014 |
NPI Last Update Date: | 10/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | KY-0512 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |