Healthcare Provider Details

I. General information

NPI: 1891578712
Provider Name (Legal Business Name): RACHAEL TOBELMANN MS, RD, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2023
Last Update Date: 08/15/2023
Certification Date: 08/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 HARRISBURG PIKE STE 300
LANCASTER PA
17601-2644
US

IV. Provider business mailing address

14 N REAMSTOWN RD UNIT 277
REAMSTOWN PA
17567-0905
US

V. Phone/Fax

Practice location:
  • Phone: 717-544-2935
  • Fax:
Mailing address:
  • Phone: 717-490-0353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDN006748
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: