Healthcare Provider Details

I. General information

NPI: 1043136757
Provider Name (Legal Business Name): ALLISON LAROCK MS, RDN, LN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

729 US HIGHWAY 12 E
TOWNSEND MT
59644-9703
US

IV. Provider business mailing address

729 US HIGHWAY 12 E
TOWNSEND MT
59644-9703
US

V. Phone/Fax

Practice location:
  • Phone: 425-275-7275
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number114930
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: