Individual
ASHLEY SUZANNAH BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D.,L.D.N
Contact information
Practice address
16381 N 850TH ST, SHUMWAY, IL 62461-2317
(217) 821-1319
Mailing address
16381 N 850TH ST, SHUMWAY, IL 62461-2317
(217) 821-1319
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.006035
IL
Other
Enumeration date
10/30/2013
Last updated
04/14/2026
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