Individual
ELIZABETH THIBODEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DTR, ACE-CHC
Contact information
Practice address
236 OLD DIVIDE RD, ROUNDUP, MT 59072-6829
(907) 240-3267
Mailing address
236 OLD DIVIDE RD, ROUNDUP, MT 59072-6829
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
—
—
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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