Individual
BETH MARIE LEY KNOTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
75 HAMEL RD, HAMEL, MN 55340-4567
(763) 478-3978
(763) 478-3502
Mailing address
649 KAYLA LN, HANOVER, MN 55341-4505
(763) 391-7636
(763) 424-7638
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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