Sally Ayotte, RD

Individual provider Active NPI Registered Dietitian · Salida, CO

NPI 1295013027 · NPPES record last updated Jul 27, 2011

Key facts

NPI
1295013027
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
15958 (CO)
Practice address
521 E 3Rd St
Salida, CO 81201-2817
Phone
(303) 908-2403
NPI assigned
Jul 27, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
15958COMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 15958 CO Yes

Addresses

Primary practice location

521 E 3Rd St
Salida, CO 81201-2817

Mailing address

PO Box 163
Salida, CO 81201-0163
Phone (303) 908-2403

Other providers in Salida, CO

All providers in Salida, CO · Registered Dietitian in Colorado

Sources for this page

Verify at the official NPI Registry.