Individual
MACKENZIE HEISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN, CDN
Contact information
Practice address
87 DEER RUN DR, BALLSTON SPA, NY 12020-3048
(570) 225-5917
Mailing address
87 DEER RUN DR, BALLSTON SPA, NY 12020-3048
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
011964
NY
133V00000X
Registered Dietitian
DN008133
PA
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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