Doctor Name: | KATHERINE TYRRELL |
NPI Number: | 1700052438 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 988928 |
Business Practice Address: | 58144 Gratiot Ave New Haven, MI - 48048 |
Business Phone Number: | 8107944982 |
Business Fax Number: | 8107944407 |
Mailing Address: | 555 Saint Clair River Dr, ALGONAC |
State: | MI |
Postal Code: | 480011802 |
Phone Number: | 8107944982 |
Fax Number: | 8107944407 |
NPI Enumeration Date: | 05/02/2008 |
NPI Last Update Date: | 05/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 988928 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |