| |
904 W Sunset Dr, Riverton, WY 82501-2307 | |
(307) 349-1804 | |
(307) 851-1465 |
Full Name | |
---|---|
Type | Facility |
Speciality | Dietitian, Registered |
Location | 904 W Sunset Dr, Riverton, Wyoming |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356734024 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
133V00000X | Dietitian, Registered | 32 (Wyoming) | Primary |
Mailing Address | Practice Location Address |
---|---|
904 W Sunset Dr, Riverton, WY 82501-2307 Ph: (307) 349-1804 | 904 W Sunset Dr, Riverton, WY 82501-2307 Ph: (307) 349-1804 |
Codi Sue Thompson, RDN, LD, CLC, CDE Dietitian Medicare: Accepting Medicare Assignments Practice Location: 904 W Sunset Dr, Riverton, WY 82501 Phone: 307-349-1804 Fax: 307-851-1465 |