Individual
KATELYN RAE REICHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN, CNSC
Contact information
Practice address
5153 N 9TH AVE, PENSACOLA, FL 32504-8785
(850) 416-6950
Mailing address
7840 LILAC LN APT 401, PENSACOLA, FL 32514-7671
(405) 642-3333
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
ND7901
FL
Other
Enumeration date
03/01/2021
Last updated
04/16/2021
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