Individual
MS. HEIDI M KNUDSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CNSD
Contact information
Practice address
1224 TROTWOOD AVE, COLUMBIA, TN 38401-4802
(931) 381-1111
Mailing address
1224 TROTWOOD AVE, COLUMBIA, TN 38401-4802
(931) 381-1111
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
614
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
614
STATE LICENSE
TN
Enumeration date
12/19/2006
Last updated
07/08/2007
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