MEDICARE: SARAH WESTBROOK TREFETHEN MS, RD, LD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	2349	AL

General Provider Information

NPI Number	:	1205515517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH WESTBROOK TREFETHEN MS, RD, LD

Provider Business Mailing Address
First Line	:	1738 HELEN RIDGE DR
Second Line	:
City	:	VESTAVIA HILLS
State	:	AL
Zip	:	35242-5627
Country	:	US
Telephone Number	:	205-908-8148
Fax Number	:

Provider Business Practice Location Address
First Line	:	1738 HELEN RIDGE DR
Second Line	:
City	:	VESTAVIA HILLS
State	:	AL
Zip	:	35242-5627
Country	:	US
Telephone Number	:	205-908-8148
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2023
Last Update Date	:	07/13/2023

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