Individual
TAVIS J PIATTOLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, RD, LDN
Contact information
Practice address
3 WICKFIELD DR, COVINGTON, LA 70433-6816
(504) 250-3325
Mailing address
3 WICKFIELD DR, COVINGTON, LA 70433-6816
(504) 250-3325
Taxonomy
Speciality
Code
Description
License number
State
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
1652
LA
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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