Individual
AMANDA PUTNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-2140
(817) 332-2506
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT88618
TX
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
04/14/2023
Last updated
09/29/2023
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