Individual
COURTNEY BROADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
8001 RAVINES EDGE CT, COLUMBUS, OH 43235-5423
(888) 364-5977
Mailing address
1295 BANDANA BLVD W,, STE 210, ST PAUL, MN 55108
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD.10379
OH
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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