NPI 1043801087

Macey Renae Leatham, RDN

Practitioner Registered Dietitian Idaho Falls, ID

Practice location

Address: 1298 Idaho Ave APT 1, Idaho Falls, ID 83402-1247
Phone: (208) 716-0244

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 86096533 (ID)

Other Dietitian, Registered providers in Idaho →

Registry record

NPI: 1043801087
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Feb 2021
Record last updated: 2 Feb 2021

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.