NPI 1891867099

Tracy Stivers, MSRD

Practitioner Registered Dietitian Manchester, KY

Practice location

Address: 376 Manchester Square, Manchester, KY 40962-9998
Phone: (606) 598-7673
Fax: (606) 598-7942
Mailing address: PO Box 555, Manchester, KY 40962

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 0370 (KY)

Other Dietitian, Registered providers in Kentucky →

Registry record

NPI: 1891867099
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Nov 2006
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.