Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MACEY RENAE LEATHAM, RDN
Active Sole ProprietorMACEY RENAE LEATHAM, RDN is a Registered Dietitian healthcare provider located in IDAHO FALLS, Idaho. NPI 1043801087 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1043801087
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 2, 2021 (5.4876901651258 yrs)
- Last Updated
- Feb 2, 2021
- License
-
86096533 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1298 IDAHO AVE APT 1IDAHO FALLS, ID, 834021247Browse ID providers · Browse ZIP 83402
- Phone
- 2087160244
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| RONDA K HARSTON | — | 1295768562 |
| KESTA L TAYLOR | — | 1649388703 |
| BRITTANY MCINTOSH | — | 1518075670 |
| MRS. SANDRA BIRCH | RD, LD | 1225236037 |
| LUANA TOMCHAK | R.D. | 1053570515 |
| SHERIE HELEN SQUIRES | RD LD | 1649429879 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.