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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. TINA BOUCHER REILLY, RD, LDN

Active Sole Proprietor

MS. TINA BOUCHER REILLY, RD, LDN is a Registered Dietitian healthcare provider located in ROSLINDALE, Massachusetts. NPI 1407515653 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · ROSLINDALE, MA

Registration Details

NPI Number
1407515653
Provider Type
Individual
Gender
Female
NPI Issued
Dec 15, 2021 (4.6372222478687 yrs)
Last Updated
Dec 15, 2021
Licenses
710263
621 (MA)
Sole Proprietor
Yes

Practice Information

Address
1200 CENTRE ST
ROSLINDALE, MA, 021311011
Browse MA providers · Browse ZIP 02131
Phone
6173638241
Primary Specialty
Registered Dietitian
133V00000X
Additional Specialty
Registered Dietitian

Other Registered Dietitian Providers in ROSLINDALE, MA

Name Credential NPI
HEIDI MCINDOO RD 1265401442
DEBORAH L KRIEG R.D. 1295933356
SUSAN A POLUDNIAK RD, LDN 1194078220
MS. NIXIE GRACE RAYMOND MS, RD 1427476985
STEFANIE ANNE O'CONNOR MS, RD, LDN 1164816708
LAURA HALLISSEY RD 1740640432
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.