Healthcare Provider Details

I. General information

NPI: 1609042456
Provider Name (Legal Business Name): MICHELE DIANE RAGER DC, RD, LDN, FAND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2008
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 HIGHLAND LN
SEWICKLEY PA
15143-1040
US

IV. Provider business mailing address

315 HIGHLAND LN
SEWICKLEY PA
15143-1040
US

V. Phone/Fax

Practice location:
  • Phone: 724-307-5926
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number930993
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDN003353
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: