Individual
MRS. KATHY JO SHATTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00710393
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00710393
CDR CREDENTIALLING NUMBER
—
Enumeration date
12/01/2014
Last updated
01/05/2025
Update your record
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