Individual
MRS. MICHELLE IVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, CDCES
Contact information
Practice address
3637 CAPSTONE LN, PLANO, TX 75074-7742
(469) 573-0969
Mailing address
3637 CAPSTONE LN, PLANO, TX 75074-7742
(469) 573-0969
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
086033574
TX
Other
Enumeration date
02/20/2016
Last updated
08/12/2025
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