Healthcare Provider Details

I. General information

NPI: 1356746051
Provider Name (Legal Business Name): RACHEL ELIZABETH GEDDIS MS, RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2014
Last Update Date: 02/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 MILL ST
UNIONTOWN PA
15401-3237
US

IV. Provider business mailing address

22 MILL ST
UNIONTOWN PA
15401-3237
US

V. Phone/Fax

Practice location:
  • Phone: 814-242-1910
  • Fax:
Mailing address:
  • Phone: 814-242-1910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: