Individual
THERESE LOWE METHERELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
557 EAST BROADWAY, JACKSON, WY 83001
(307) 733-5344
(307) 733-5344
Mailing address
PO BOX 4794, JACKSON, WY 83001-4794
(307) 733-5344
(307) 733-5344
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/11/2009
Last updated
03/11/2009
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