NPI 1679148951 · live from the CMS NPI Registry
Alysha Gebo
Dietitian, Registered in Acushnet, MA. National Provider Identifier 1679148951, active.
NPI record
| NPI | 1679148951 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 51 Pembroke Ave, Acushnet, MA 02743 |
| Practice phone | 508-688-4794 |
| Enumerated | May 20, 2021 |
| Last updated | May 20, 2021 |
| Authorized official | Alysha Gebo, Registered Dietitian |
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.