Individual
TAYLOR STAUBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
8614 OLD BATES RD, LOUISVILLE, KY 40228-2504
(502) 310-9894
Mailing address
1525 W HOMER ST, STE 101, CHICAGO, IL 60642-1280
(773) 292-1940
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2585
KY
Other
Enumeration date
11/08/2013
Last updated
03/04/2014
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