NPI 1003067422

Amanda Marie Reilson, RDLDN

Practitioner Registered Dietitian Maryville, IL

Practice location

Address: 6800 State Route 162, Maryville, IL 62062-8500
Phone: (618) 391-5528
Fax: (618) 288-3638
Mailing address: 1813 Marine Rd, Saint Jacob, IL 62281-1243

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 164004969 (IL)

Other Dietitian, Registered providers in Illinois →

Registry record

NPI: 1003067422
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Oct 2008
Record last updated: 14 Oct 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.