Teresa A Beach, LN
Dietitian, Registered, Nutrition, Metabolic in Sioux Falls, SD. Individual provider (NPI-1).
NPI number1467551275
StatusActive
Last updated in NPPESOct 23, 2007
Details
- NPI
- 1467551275
- Entity type
- Individual (NPI-1)
- Name
- Teresa A Beach
- Credential
- LN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2006
- Last updated
- Oct 23, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133VN1006X | Dietitian, Registered, Nutrition, Metabolic | 0305 | SD | Yes |
Practice location
1305 W 18th StSioux Falls, SD 57105-0401
Phone 605-333-1000
Mailing address
Po Box 5074Sioux Falls, SD 57117-5074
Phone 605-328-6585 · Fax 605-328-6512
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