Healthcare Provider Details

I. General information

NPI: 1295211332
Provider Name (Legal Business Name): AMIEE TRAUTH MS, RD, CNSC, LD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2018
Last Update Date: 06/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVE # MLC5043
CINCINNATI OH
45229-3026
US

IV. Provider business mailing address

3333 BURNET AVE
CINCINNATI OH
45229-3026
US

V. Phone/Fax

Practice location:
  • Phone: 513-803-1249
  • Fax:
Mailing address:
  • Phone: 513-636-4225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberLD.5823
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: