Individual
MS. NATALIE L THACKSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD
Contact information
Practice address
680 STEAMBOAT VALLEY RD, LYONS, CO 80540-1713
(303) 823-0642
Mailing address
PO BOX 1713, LYONS, CO 80540-1713
(303) 823-0642
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/22/2009
Last updated
04/22/2009
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