NPI 1013940386

Rebecca T Sulik

Practitioner Metabolic Nutrition Registered Dietitian Idaho Falls, ID

Practice location

Address: 2220 E 25th St, Idaho Falls, ID 83404-7542
Phone: (208) 523-1122
Fax: (208) 523-2582

Registered specialties

Metabolic Nutrition Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133VN1006X Licence D257 (ID)

Other Dietitian, Registered providers in Idaho →

Registry record

NPI: 1013940386
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jul 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.