Chad Hetherwick MS, RD

NPI 1104023969 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1104023969
Gender Male
Enumeration Date 06/27/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
7700 E FLORENTINE RD
PRESCOTT VALLEY AZ, 86314-2245, US
Phone (928) 442-8669
Fax (928) 442-8666
Business Location
PO BOX 10214
PRESCOTT AZ, 86304-0214, US
Phone (928) 442-8669
Fax (928) 442-8666
Toxanomy
Taxonomy Code 133V00000X
License State
License Number 960912
Remove 1104023969 NPI Number
 

According to our database, Chad Hetherwick MS, RD NPI is 1104023969, taxonomy code is 133V00000X and license number is 960912, license state is located at . Chad Hetherwick MS, RD physically located at 7700 E Florentine Rd, Prescott Valley AZ, 86314-2245. NPI Number Chad Hetherwick MS, RD has the Individual type.

Sponsored links

1104023969 NPI number is provided on an as is basis without warranty of any kind. 1104023969 is maintained by the National Plan & Provider Enumeration System. The contents of Chad Hetherwick MS, RD are for informational purposes only.