Impact Rd Services LLC
Organization Active NPI Registered Dietitian · Turtle Lake, WI
NPI 1376351924 · NPPES record last updated Dec 27, 2024
Key facts
- NPI
- 1376351924
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Registered Dietitian 133V00000X
- Legal business name
- IMPACT RD SERVICES LLC
- Practice address
- 1410 50TH St
Turtle Lake, WI 54889-9134 - Phone
- (715) 418-1665
- NPI assigned
- Dec 27, 2024
- Organization subpart
- No
Authorized official
- Name
- Kiersten Ruth Haugerud, MS, RDN, CD
- Title
- Registered Dietitian
- Phone
- (715) 418-1665
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian |
133V00000X | Yes |
Addresses
Primary practice location
1410 50TH St
Turtle Lake, WI 54889-9134
Mailing address
1410 50TH St
Turtle Lake, WI 54889-9134
Phone (715) 418-1665
Other names
- IMPACT Wellness
Other providers in Turtle Lake, WI
- Lisa Anne Erickson
- Marissa Frances Gavioli
- Clair Gille
- Melissa Joan Gunther
- John Avery Halberg
- James Pharmacy - Turtle Lake LTD
- Jacob Jensen
- Donna Lynn Johnson
- Heather Marie Kinnunen
- Susanne Rose Knight
All providers in Turtle Lake, WI · Registered Dietitian in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.