| Doctor Name: | SIMONE VICTORIA HAGERTY |
| NPI Number: | 1730252735 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD, CD |
| License Number: | DI00001068 |
| Business Practice Address: | 33431 13th Pl S Federal Way, WA - 980036357 |
| Business Phone Number: | 2062969877 |
| Business Fax Number: | |
| Mailing Address: | 2311 S 10th St, TACOMA |
| State: | WA |
| Postal Code: | 984053023 |
| Phone Number: | 2532721301 |
| Fax Number: | |
| NPI Enumeration Date: | 11/16/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | DI00001068 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| 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 |