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Individual

MS. KATHERINE THISTLE RIVARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD,LD

Contact information

Practice address
695 GLENBROOK AVE N, SAINT PAUL, MN 55128-6508
(651) 387-9902
Mailing address
11240 CEDAR POINTE, MINNETONKA, MN 55305
(763) 370-9569

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1916
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
816463
AMERICAN DIETETIC ASSOCIATION
MN
Enumeration date
03/28/2013
Last updated
01/23/2026
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