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NPI Code Detail

MEDICARE: MRS. MELISSA ANNE ALTHOFF RDN

MEDICARE: MRS. MELISSA ANNE ALTHOFF RDN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian0606SD
2133V00000XRegistered Dietitian106466IA

General Provider Information

NPI Number : 1487152955
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELISSA ANNE ALTHOFF RDN
Provider Business Mailing Address
First Line : 4039 B AVE
Second Line :
City : ARLINGTON
State : IA
Zip : 50606-8133
Country : US
Telephone Number : 712-899-2200
Fax Number :
Provider Business Practice Location Address
First Line : 709 W MAIN ST
Second Line :
City : MANCHESTER
State : IA
Zip : 52057-1526
Country : US
Telephone Number : 563-927-3232
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2018
Last Update Date : 08/31/2022

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