NPI 1508925728 · live from the CMS NPI Registry
Tamara Henzlik, MNT
Dietitian, Registered in Rapid City, SD. National Provider Identifier 1508925728, active.
NPI record
| NPI | 1508925728 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 353 Fairmont Blvd, Rapid City, SD 57701 |
| Practice phone | 605-719-1000 |
| Mailing address | Po Box 3450, Rapid City, SD 57709 |
| Enumerated | December 6, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.