NPI 1053005132

Tracie Mitchell

Practitioner Registered Dietitian Neosho, MO

Practice location

Address: 9920 Queens Lace Dr, Neosho, MO 64850-8389
Phone: (417) 499-2751

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 2001004731 (MO)

Other Dietitian, Registered providers in Missouri →

Registry record

NPI: 1053005132
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jun 2023
Record last updated: 2 Jun 2023

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.