Tina Braetthomas, RD | |
707 Sheridan Ave, Cody, WY 82414-3409 | |
(307) 527-7561 | |
Not Available |
Full Name | Tina Braetthomas |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 707 Sheridan Ave, Cody, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255484945 | NPI | - | NPPES |
312877 | Other | WY | WY BCBS PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Powell Valley Health Care Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1699721316 PECOS PAC ID: 5092798561 Enrollment ID: O20040608000424 |
Mailing Address | Practice Location Address |
---|---|
Tina Braetthomas, RD Po Box 35100, Billings, MT 59107-5100 Ph: (406) 238-2500 | Tina Braetthomas, RD 707 Sheridan Ave, Cody, WY 82414-3409 Ph: (307) 527-7561 |
Heather Peatross Brinkerhoff, R.D. L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 707 Sheridan Ave, Cody, WY 82414 Phone: 307-527-7501 | |
Mrs. Allison N Rivera, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 20 Viking Dr, Cody, WY 82414 Phone: 307-899-2247 | |
Amanda N Kuck, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 707 Sheridan Ave, Cody, WY 82414 Phone: 720-261-8123 | |
Elizabeth Fabrizio, RD Dietitian Medicare: Medicare Enrolled Practice Location: 707 Sheridan Ave, Cody, WY 82414 Phone: 307-527-7501 | |
Mrs. Lucinda Marie Atnip, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5642 Greybull Hwy, Cody, WY 82414 Phone: 307-250-4966 Fax: 918-585-3047 |