TAMMY ELVA GRAYUM RD, LD
NPI 1730368671
Dietitian, Registered - Nutrition, Metabolic in Festus, MO
- Individual
- Female
- Dietitian, Registered
- Nutrition, Metabolic
About TAMMY GRAYUM
This page provides the complete NPI Profile along with additional information for Tammy Grayum, a provider established in Festus, Missouri with a medical specialization in Dietitian, Registered, focusing in nutrition, metabolic . The healthcare provider is registered in the NPI registry with number 1730368671 assigned on October 2007. The practitioner's primary taxonomy code is 133VN1006X with license number 2004024027 (MO). The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1730368671 Verify this NPI
- Provider Name
- TAMMY ELVA GRAYUM RD, LD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 14171 STATE ROAD TT FESTUS, MO 63028
- Location Phone
- (573) 513-5380
- Mailing Address
- 14171 STATE ROAD TT FESTUS, MO 63028
- Mailing Phone
- (573) 513-5380
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-28-2007
- Last Update Date
- 10-28-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dietitian, Registered Nutrition, Metabolic
- Taxonomy Code
- 133VN1006X
- Type
- Dietary & Nutritional Service Providers
- License No.
- 2004024027
- License State
- MO
- Taxonomy Description
- A registered dietitian who achieves specialized competency in metabolic nutrition.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730368671, enumerated as an "individual" on October 28, 2007.
The provider is located at 14171 STATE ROAD TT FESTUS, MO 63028 and the phone number is (573) 513-5380.
Dietitian, Registered with taxonomy code 133VN1006X and a focus in Nutrition, Metabolic.
