Healthcare Provider Details

I. General information

NPI: 1851778435
Provider Name (Legal Business Name): TERI GALTER RD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2015
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3210 SE CORPORATE WOODS DR
ANKENY IA
50021-7405
US

IV. Provider business mailing address

3210 SE CORPORATE WOODS DR
ANKENY IA
50021-7405
US

V. Phone/Fax

Practice location:
  • Phone: 877-508-6667
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number1353
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: