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

KEELY BOURASSA, RD

Active Sole Proprietor

KEELY BOURASSA, RD is a Registered Dietitian healthcare provider located in TERRE HAUTE, Indiana. NPI 1417643149 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · TERRE HAUTE, IN

Registration Details

NPI Number
1417643149
Provider Type
Individual
Gender
Female
NPI Issued
Apr 14, 2023 (3.2925257421231 yrs)
Last Updated
Apr 21, 2023
License
37003359A (IN)
Sole Proprietor
Yes

Practice Information

Address
1200 S CENTER ST
TERRE HAUTE, IN, 478021118
Browse IN providers · Browse ZIP 47802
Phone
3177537308
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in TERRE HAUTE, IN

Name Credential NPI
CARIN R. ALOISIO RD, CD 1407894942
MS. ELISSA R. MURPHY R.D, C.D. 1972604056
MS. MARISSA ANNE TROUT RD, CD, LDN, MA 1710213871
MRS. SARAH J JAMES RD, LD 1205115375
LYNN FULFORD 1699014894
MRS. TRACY ARINI RD, CD, CDE 1164765210
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.