NPI 1003527201

Rachael Tatko

Practitioner Registered Dietitian Boise, ID

Practice location

Address: 13900 W Wainwright Dr, Boise, ID 83713-5028
Phone: (208) 433-9424
Mailing address: 2533 N Wing Rd, Star, ID 83669-5140

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence D-1114 (ID)

Other Dietitian, Registered providers in Idaho →

Registry record

NPI: 1003527201
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Dec 2022
Record last updated: 8 Dec 2022

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.