NPI 1710217179

Tia M Kocka, CDE

Practitioner Nutrition Education Nutritionist Park Rapids, MN

Practice location

Address: 705 Pleasant Ave S, Park Rapids, MN 56470-1440
Phone: (218) 732-2800
Fax: (218) 732-2857
Mailing address: PO Box 6001, Fargo, ND 58108-6001

Registered specialties

Nutrition Education Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133NN1002X Licence R33968 (MN)

Other Nutritionist providers in Minnesota →

Registry record

NPI: 1710217179
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jan 2010
Record last updated: 8 Aug 2012

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.