Individual
TINA BRAETTHOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
707 SHERIDAN AVE, CODY, WY 82414-3409
(307) 527-7561
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100
(406) 238-2500
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
312877
WY BCBS PIN
WY
Enumeration date
01/18/2007
Last updated
12/02/2014
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