Individual
MRS. MANDY M COFFELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHA, RD, CSOWM
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
10265901
OR
133V00000X
Registered Dietitian
Primary
960672
IL
133V00000X
Registered Dietitian
Primary
960672
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
Other
Enumeration date
03/20/2007
Last updated
03/31/2026
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