NPI 1114363769 · live from the CMS NPI Registry
Mikala Henzlik, PharmD, RPh, MS, RD
Dietitian, Registered in Sioux Falls, SD. National Provider Identifier 1114363769, active.
NPI record
| NPI | 1114363769 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1305 W 18th St, Sioux Falls, SD 57105 |
| Practice phone | 605-328-1518 |
| Mailing address | Po Box 5074, Sioux Falls, SD 57117 |
| Enumerated | May 21, 2013 |
| Last updated | March 19, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist | 183500000X | R6219 (SD) |
| Dietitian, Registered primary | 133V00000X | 0677 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.