NPI 1003996398

Tennille Irene Houston, MHERDLDCDE

Practitioner Registered Dietitian Burley, ID

Practice location

Address: 1501 Hiland Ave Cassia Regional Medical Center, Burley, ID 83318-2682
Phone: (208) 677-6587
Mailing address: 278 Dollar Hide Way, Jerome, ID 83338-6554

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence D-348 (ID)

Other Dietitian, Registered providers in Idaho →

Registry record

NPI: 1003996398
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Oct 2006
Record last updated: 8 Jul 2007

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.