SearchIdaho133V00000X

Macey Leatham, RDN

NPI 1043801087 · on the registry since 2021 · sole proprietor

Practice

Address
1298 Idaho Ave Apt 1
Idaho Falls, ID 83402
Phone
(208) 716-0244

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-02-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho