Individual
CHAD HETHERWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RDN
Contact information
Practice address
8508 N PRAIRIE VW, PRESCOTT VALLEY, AZ 86315-9089
(928) 772-8652
(928) 772-8078
Mailing address
PO BOX 10214, PRESCOTT, AZ 86304-0214
(928) 772-8652
(928) 772-8078
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
960912
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
133VN1005X
Renal Nutrition Registered Dietitian
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
Other
Enumeration date
06/27/2007
Last updated
11/03/2020
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