| Staci L Freeworth, MNT | |
|
2801 Bay Park Dr, Oregon, OH 43616-4920 | |
| (419) 690-7900 | |
| Not Available |
| Full Name | Staci L Freeworth |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 2801 Bay Park Dr, Oregon, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043217995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 5289 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Staci L Freeworth, MNT 2801 Bay Park Dr, Oregon, OH 43616-4920 Ph: (419) 690-7900 | Staci L Freeworth, MNT 2801 Bay Park Dr, Oregon, OH 43616-4920 Ph: (419) 690-7900 |
Beverly Tata, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2801 Bay Park Dr, Oregon, OH 43616 Phone: 419-690-8722 | |
Nathan J Drendel, M.S., R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2801 Bay Park Dr, Oregon, OH 43616 Phone: 419-690-8710 Fax: 419-697-7731 | |
Ms. Rachel Alice Hall, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2801 Bay Park Dr, Oregon, OH 43616 Phone: 419-690-8725 | |
Christine Ann Clunk, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2600 Navarre Ave, Oregon, OH 43616 Phone: 419-696-7583 |