NPI 1235945452

Brooke Marie Theodorakos, MSRDLD

Practitioner Registered Dietitian Wentzville, MO

Practice location

Address: 1145 Ironhorse CT, Wentzville, MO 63385-4676
Phone: (314) 324-6119

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 2009000717 (MO)

Other Dietitian, Registered providers in Missouri →

Registry record

NPI: 1235945452
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Dec 2024
Record last updated: 4 Dec 2024

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.