Individual
TAYLOR PECKNOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RDN, CD
Contact information
Practice address
850 W MAPLE ST, MEDICAL LAKE, WA 99022-5139
(509) 565-4034
Mailing address
850 W MAPLE ST, MEDICAL LAKE, WA 99022-5139
(509) 565-4034
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DIET.DI.60865395
WA
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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