Individual
MR. TIMOTHY ROY ANKENMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
5155 S HILLSDALE AVE, MERIDIAN, ID 83642-7587
(208) 381-2222
Mailing address
601 E MERINO ST, KUNA, ID 83634-4910
(208) 949-7562
(208) 949-7562
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
86066149
—
133V00000X
Registered Dietitian
Primary
D-1301
ID
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
86066149
—
Other
Enumeration date
05/22/2026
Last updated
05/22/2026
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