Healthcare Provider Details

I. General information

NPI: 1689200131
Provider Name (Legal Business Name): ASHLEY RENEE MEUSER MS, RDN, CSSD, LD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2020
Last Update Date: 03/17/2020
Certification Date: 03/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 JOE NUXHALL WAY
CINCINNATI OH
45202-4109
US

IV. Provider business mailing address

3539 HARROW AVE
CINCINNATI OH
45209-1117
US

V. Phone/Fax

Practice location:
  • Phone: 419-306-2920
  • Fax:
Mailing address:
  • Phone: 419-305-2920
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1501X
TaxonomySports Dietetics Nutrition Registered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: