| Doctor Name: | EMILY THEVIS |
| NPI Number: | 1932510179 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.D. |
| License Number: | 2509 |
| Business Practice Address: | 7777 Hennessy Blvd Suite 612 Baton Rouge, LA - 708084300 |
| Business Phone Number: | 2257695656 |
| Business Fax Number: | 2257666996 |
| Mailing Address: | 5959 S Sherwood Forest Blvd, BATON ROUGE |
| State: | LA |
| Postal Code: | 708166038 |
| Phone Number: | 2255260006 |
| Fax Number: | 2257659291 |
| NPI Enumeration Date: | 05/09/2014 |
| NPI Last Update Date: | 05/30/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 2509 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| 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 |