Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BROOKE MARIE THEODORAKOS, MS, RD, LD
Active Sole ProprietorBROOKE MARIE THEODORAKOS, MS, RD, LD is a Registered Dietitian healthcare provider located in WENTZVILLE, Missouri. NPI 1235945452 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · WENTZVILLE, MO
Registration Details
- NPI Number
- 1235945452
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 4, 2024 (1.6568885075298 yrs)
- Last Updated
- Dec 4, 2024
- License
-
2009000717 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1145 IRONHORSE CTWENTZVILLE, MO, 633854676Browse MO providers · Browse ZIP 63385
- Phone
- 3143246119
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in WENTZVILLE, MO
| Name | Credential | NPI |
|---|---|---|
| SUSAN L. KEYES | MS, RD, LD, CNSC | 1619333671 |
| MARY LAUREN PUETZ | REGISTERED DIETITIAN | 1386280584 |
| EVA OBIREK | DIETITIAN | 1295307973 |
| MRS. SHAILEE SARAN VARANASI | RDN, LD | 1932844057 |
| MISS JAMIE MARIE MERRITT | RDN, LD, MS | 1013647528 |
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.