Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAVIS J PIATTOLY, MS, RD, LDN
Active Sole ProprietorTAVIS J PIATTOLY, MS, RD, LDN is a Sports Dietetics healthcare provider located in COVINGTON, Louisiana. NPI 1619518677 is currently active in the NPPES registry. Verify at CMS.
Sports Dietetics · COVINGTON, LA
Registration Details
- NPI Number
- 1619518677
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 1, 2019 (6.8334854468377 yrs)
- Last Updated
- Oct 1, 2019
- License
-
1652 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3 WICKFIELD DRCOVINGTON, LA, 704336816Browse LA providers · Browse ZIP 70433
- Phone
- 5042503325
- Primary Specialty
-
Sports Dietetics
133VN1501X
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.