Doctor Name: | MACKENZIE REESER |
NPI Number: | 1770902215 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 1095915 |
Business Practice Address: | 2424 21st Ave S Ste 100 Nashville, TN - 372125315 |
Business Phone Number: | 3172977888 |
Business Fax Number: | |
Mailing Address: | 704 Berry Rd, A14 NASHVILLE |
State: | TN |
Postal Code: | 372042844 |
Phone Number: | 3176905284 |
Fax Number: | |
NPI Enumeration Date: | 04/14/2014 |
NPI Last Update Date: | 04/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1095915 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
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 |