Individual
KAITLIN S TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
521 E MOUNTAIN VIEW AVE, ELLENSBURG, WA 98926-3865
(253) 946-4852
Mailing address
501 S 5TH AVE, YAKIMA, WA 98902-3550
(509) 494-6700
(509) 573-6275
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60141666
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0260977
L&I
WA
05
—
2006037
—
WA
Enumeration date
03/03/2010
Last updated
01/30/2020
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