| Rachael Tatko, | |
|
13900 W Wainwright Dr, Boise, ID 83713-5028 | |
| (208) 433-9424 | |
| Not Available |
| Full Name | Rachael Tatko |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 13900 W Wainwright Dr, Boise, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003527201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | D-1114 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Rachael Tatko, 2533 N Wing Rd, Star, ID 83669-5140 Ph: () - | Rachael Tatko, 13900 W Wainwright Dr, Boise, ID 83713-5028 Ph: (208) 433-9424 |
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