Individual
TYLER STEVEN WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD, RDN
Contact information
Practice address
1018 WETTERAU AVE, LOUISVILLE, KY 40217-1508
(270) 268-4805
Mailing address
1018 WETTERAU AVE, LOUISVILLE, KY 40217-1508
(270) 268-4805
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
244771
KY
133V00000X
Registered Dietitian
37004053A
IN
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
244771
KY
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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