Individual
JUDY ANN TILLAPAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN LD
Contact information
Practice address
1007 W RUDISILL BLVD, FORT WAYNE, IN 46807-2170
(260) 425-5180
(260) 425-5210
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37000972A
IN
Other
Enumeration date
05/21/2025
Last updated
09/23/2025
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