NPI 1255484945 · live from the CMS NPI Registry
Tina Braetthomas, RD
Dietitian, Registered in Cody, WY. National Provider Identifier 1255484945, active.
NPI record
| NPI | 1255484945 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 707 Sheridan Ave, Cody, WY 82414 |
| Practice phone | 307-527-7561 |
| Mailing address | Po Box 35100, Billings, MT 59107 |
| Enumerated | January 18, 2007 |
| Last updated | December 2, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.