605 Dietitian, LLC
Organization Active NPI Registered Dietitian · Harrisburg, SD
NPI 1700415296 · NPPES record last updated Nov 10, 2021
Key facts
- NPI
- 1700415296
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Registered Dietitian 133V00000X
- Legal business name
- 605 DIETITIAN, LLC
- Practice address
- 276 Tiger Way Unit 1
Harrisburg, SD 57032-2506 - Phone
- (605) 870-1036
- NPI assigned
- Apr 6, 2020
- Organization subpart
- No
Authorized official
- Name
- Kelsey Marie Raab, RD, LN, CDCES
- Title
- Registered Dietitian
- Phone
- (605) 870-1036
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian |
133V00000X | Yes |
Addresses
Primary practice location
276 Tiger Way Unit 1
Harrisburg, SD 57032-2506
Mailing address
904 E Donlin St
Miller, SD 57362-1654
Phone (605) 870-1036
Other practice location 1
305 W. 5th Street
Miller, SD 57362
Phone (605) 870-1036
Other providers in Harrisburg, SD
All providers in Harrisburg, SD · Registered Dietitian in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2021. 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.