Individual
MRS. AMANDA KATHLEEN REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
175 S UNION BLVD, COLORADO SPRINGS, CO 80910-3113
(719) 365-6148
Mailing address
8890 N UNION BLVD, COLORADO SPRINGS, CO 80920-7799
(719) 365-6148
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
954062
CO
Other
Enumeration date
01/06/2011
Last updated
03/10/2011
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