Individual
MIKAYLA MCTIGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1110 DUNSTON DR, SAINT LOUIS, MO 63146-5644
(314) 740-5125
Mailing address
1110 DUNSTON DR, SAINT LOUIS, MO 63146-5644
(314) 740-5125
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
164011635
IL
133V00000X
Registered Dietitian
Primary
2022049496
MO
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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