NPI 1205048451

Thu Ta, RDS

Practitioner Registered Dietetic Technician Denver, CO

Practice location

Address: 10065 E. Harvard Ave, Denver, CO 80231
Phone: (303) 743-5855
Mailing address: 5515 Revere St, Denver, CO 80239

Registered specialties

Registered Dietetic Technician Primary

Dietary & Nutritional Service Providers Taxonomy 136A00000X

Other Dietetic Technician, Registered providers in Colorado →

Registry record

NPI: 1205048451
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 May 2007
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.